Tuan M Nguyen Dds Professional Corporation | |
473 Encinitas Blvd Enacinitas CA 92024 | |
(760) 634-2024 | |
(760) 634-7970 |
Full Name | Tuan M Nguyen Dds Professional Corporation |
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Speciality | Dentist |
Location | 473 Encinitas Blvd, Enacinitas, California |
Authorized Official Name and Position | Cathleen A Domingo-nguyen (SPOUSE CO OWNER SEC OF CORP) |
Authorized Official Contact | 7606342024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tuan M Nguyen Dds Professional Corporation 473 Encinitas Blvd Enacinitas CA 92024 Ph: (760) 634-2024 | Tuan M Nguyen Dds Professional Corporation 473 Encinitas Blvd Enacinitas CA 92024 Ph: (760) 634-2024 |
NPI Number | 1538261276 |
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Provider Enumeration Date | 09/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1538261276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | CA42750 (California) | Primary |
122300000X | Dentist | CA43333 (California) | Secondary |