| Mark K. Nguyen Dental Business A Prof Corp | |
|
1202 Bristol St 140 Costa Mesa CA 92626-8605 | |
| (714) 545-0484 | |
| Not Available |
| Full Name | Mark K. Nguyen Dental Business A Prof Corp |
|---|---|
| Speciality | Dentist |
| Location | 1202 Bristol St, Costa Mesa, California |
| Authorized Official Name and Position | Mark K Nguyen (OWNER) |
| Authorized Official Contact | 7145450484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark K. Nguyen Dental Business A Prof Corp 1202 Bristol St. 140 Costa Mesa CA 92626 Ph: (714) 545-0484 | Mark K. Nguyen Dental Business A Prof Corp 1202 Bristol St 140 Costa Mesa CA 92626-8605 Ph: (714) 545-0484 |
| NPI Number | 1215341359 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215341359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53472 (California) | Primary |
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