| Nguyen Dazzling Smile Dental Group Corp. | |
|
204 E 17th St Ste 201 Costa Mesa CA 92627-7300 | |
| (949) 674-5333 | |
| (949) 674-5322 |
| Full Name | Nguyen Dazzling Smile Dental Group Corp. |
|---|---|
| Speciality | Dentist |
| Location | 204 E 17th St Ste 201, Costa Mesa, California |
| Authorized Official Name and Position | Anisha Nguyen (OWNER) |
| Authorized Official Contact | 7146516725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nguyen Dazzling Smile Dental Group Corp. 204 E 17th St Ste 201 Costa Mesa CA 92627-7300 Ph: (949) 674-5333 | Nguyen Dazzling Smile Dental Group Corp. 204 E 17th St Ste 201 Costa Mesa CA 92627-7300 Ph: (949) 674-5333 |
| NPI Number | 1639817166 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639817166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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