| Tien Thi My Ngo Dds Inc | |
|
10051 Bolsa Ave # A1 Westminster CA 92683 | |
| (714) 839-6631 | |
| (714) 839-2475 |
| Full Name | Tien Thi My Ngo Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 10051 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Tien Thi My Ngo (PRESIDENT) |
| Authorized Official Contact | 7148396631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tien Thi My Ngo Dds Inc 10051 Bolsa Ave # A1 Westminster CA 92683 Ph: (714) 839-6631 | Tien Thi My Ngo Dds Inc 10051 Bolsa Ave # A1 Westminster CA 92683 Ph: (714) 839-6631 |
| NPI Number | 1053448423 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053448423 | NPI | - | NPPES |
| B3714401 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37144 (California) | Primary |
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