| Randy Trung-quy Nguyen, Dds A Dental Corporation | |
|
526 College Ave Santa Rosa CA 95404-4103 | |
| (707) 527-8700 | |
| (707) 527-8134 |
| Full Name | Randy Trung-quy Nguyen, Dds A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 526 College Ave, Santa Rosa, California |
| Authorized Official Name and Position | Randy Trung-quy Nguyen (PRESIDENT) |
| Authorized Official Contact | 7075278700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Trung-quy Nguyen, Dds A Dental Corporation 526 College Ave Santa Rosa CA 95404-4103 Ph: (707) 527-8700 | Randy Trung-quy Nguyen, Dds A Dental Corporation 526 College Ave Santa Rosa CA 95404-4103 Ph: (707) 527-8700 |
| NPI Number | 1750521365 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 02/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750521365 | NPI | - | NPPES |
| 1861552812 | Other | CA | NPI |
| G89559-01 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43828 (California) | Primary |
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