| Kenneth Nguyen, Dds Apc | |
|
762 Glendora Ave Ste D La Puente CA 91744-4044 | |
| (626) 333-7920 | |
| (626) 330-7019 |
| Full Name | Kenneth Nguyen, Dds Apc |
|---|---|
| Speciality | Dentist |
| Location | 762 Glendora Ave, La Puente, California |
| Authorized Official Name and Position | Kenneth Thi Nguyen (OWNER) |
| Authorized Official Contact | 6263337920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Nguyen, Dds Apc 762 Glendora Ave Ste D La Puente CA 91744-4044 Ph: (626) 333-7920 | Kenneth Nguyen, Dds Apc 762 Glendora Ave Ste D La Puente CA 91744-4044 Ph: (626) 333-7920 |
| NPI Number | 1528411733 |
|---|---|
| Provider Enumeration Date | 07/22/2016 |
| Last Update Date | 07/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528411733 | NPI | - | NPPES |
| 1861511420 | Other | CA | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46204 (California) | Primary |
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