| Thuan Anthony Nguyen Dds Pc | |
|
1872 N Tustin St Orange CA 92865-4605 | |
| (714) 637-8662 | |
| Not Available |
| Full Name | Thuan Anthony Nguyen Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1872 N Tustin St, Orange, California |
| Authorized Official Name and Position | Thuan Anthony Nguyen (DDS/OWNER) |
| Authorized Official Contact | 7147975538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thuan Anthony Nguyen Dds Pc 1872 N Tustin St Orange CA 92865-4605 Ph: (714) 637-8662 | Thuan Anthony Nguyen Dds Pc 1872 N Tustin St Orange CA 92865-4605 Ph: (714) 637-8662 |
| NPI Number | 1992332472 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/25/2020 |
| Medicare PECOS PAC ID | 3870923477 |
|---|---|
| Medicare Enrollment ID | O20200422003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992332472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Thuan Huu Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780776922 PECOS PAC ID: 8022348648 Enrollment ID: I20190925001036 |
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