| Kiet Nguyen Dmd | |
|
9864 Katella Ave Anaheim CA 92804-6418 | |
| (714) 636-1112 | |
| (714) 636-1674 |
| Full Name | Kiet Nguyen Dmd |
|---|---|
| Speciality | Dentist |
| Location | 9864 Katella Ave, Anaheim, California |
| Authorized Official Name and Position | Kiet Tuan Nguyen (DMD PRESIDENT) |
| Authorized Official Contact | 7146361112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiet Nguyen Dmd 9864 Katella Ave Anaheim CA 92804-6418 Ph: (714) 636-1112 | Kiet Nguyen Dmd 9864 Katella Ave Anaheim CA 92804-6418 Ph: (714) 636-1112 |
| NPI Number | 1821196312 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821196312 | NPI | - | NPPES |
| B4916901 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49169 (California) | Primary |
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