| T. D. Nguyen, D.d.s., Inc. | |
|
25432 Trabuco Rd Ste 206 Lake Forest CA 92630-2758 | |
| (949) 380-7803 | |
| Not Available |
| Full Name | T. D. Nguyen, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25432 Trabuco Rd Ste 206, Lake Forest, California |
| Authorized Official Name and Position | Toan Duy Nguyen (PRESIDENT) |
| Authorized Official Contact | 9493807803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. D. Nguyen, D.d.s., Inc. 25432 Trabuco Rd Ste 206 Lake Forest CA 92630-2758 Ph: (949) 380-7803 | T. D. Nguyen, D.d.s., Inc. 25432 Trabuco Rd Ste 206 Lake Forest CA 92630-2758 Ph: (949) 380-7803 |
| NPI Number | 1659898278 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659898278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45302 (California) | Primary |
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