| Thuan Huu Nguyen Dds Inc | |
|
9545 Reseda Blvd Ste 1 Northridge CA 91324-2348 | |
| (818) 886-6660 | |
| (818) 886-6660 |
| Full Name | Thuan Huu Nguyen Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 9545 Reseda Blvd Ste 1, Northridge, California |
| Authorized Official Name and Position | 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 Huu Nguyen Dds Inc 9545 Reseda Blvd Ste 1 Northridge CA 91324-2348 Ph: (818) 886-6660 | Thuan Huu Nguyen Dds Inc 9545 Reseda Blvd Ste 1 Northridge CA 91324-2348 Ph: (818) 886-6660 |
| NPI Number | 1881225860 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 04/21/2023 |
| Medicare PECOS PAC ID | 9436589611 |
|---|---|
| Medicare Enrollment ID | O20200501001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881225860 | 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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