| Washington Dental Group | |
|
11408 E Washington Blvd Whittier CA 90606-3122 | |
| (562) 463-1111 | |
| (562) 463-8994 |
| Full Name | Washington Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 11408 E Washington Blvd, Whittier, California |
| Authorized Official Name and Position | Peter T Nguyen (DENTIST) |
| Authorized Official Contact | 5624631111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Dental Group 11408 Washington Blvd Whittier CA 90606-3122 Ph: (562) 463-1111 | Washington Dental Group 11408 E Washington Blvd Whittier CA 90606-3122 Ph: (562) 463-1111 |
| NPI Number | 1043435365 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3375878051 |
|---|---|
| Medicare Enrollment ID | O20190717003130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043435365 | NPI | - | NPPES |
| G92287-02 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46305 (California) | Primary |
| Provider Name | Peter Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215040118 PECOS PAC ID: 6608101381 Enrollment ID: I20190717003519 |
| Provider Name | Thomas The Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811107980 PECOS PAC ID: 0244565927 Enrollment ID: I20190717003920 |
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