| Kimberly Bao Nguyen, A Dental Corp | |
|
11352 1/2 Renaissance Way Stanton CA 90680-3391 | |
| (171) 489-9960 | |
| (171) 476-6438 |
| Full Name | Kimberly Bao Nguyen, A Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 11352 1/2 Renaissance Way, Stanton, California |
| Authorized Official Name and Position | Kimberly Bao Nguyen (PRESIDENT) |
| Authorized Official Contact | 17148999604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Bao Nguyen, A Dental Corp 11352 1/2 Renaissance Way Stanton CA 90680-3391 Ph: (171) 489-9960 | Kimberly Bao Nguyen, A Dental Corp 11352 1/2 Renaissance Way Stanton CA 90680-3391 Ph: (171) 489-9960 |
| NPI Number | 1447547476 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 06/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447547476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52094 (California) | Primary |
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