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Organization
DUY NGUYEN DDS, PROFESSIONAL DENTAL CORPORATION
Active
Organization
DUY NGUYEN DDS, PROFESSIONAL DENTAL CORPORATION
Active
Other names
Pacific Manor Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUY MINH NGUYEN DDS (OWNER)
(650) 735-1608
Entity
Organization
Contact information
Practice address
55 BILL DRAKE WAY STE B, PACIFICA, CA 94044-1802
(650) 735-1608
(888) 509-8199
Mailing address
55 BILL DRAKE WAY STE B, PACIFICA, CA 94044-1802
(650) 735-1608
(888) 509-8199
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
06/11/2019
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