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Organization
THOMAS NGUYEN DENTAL CORP
Active
Organization
THOMAS NGUYEN DENTAL CORP
Active
Other names
WASHINGTON DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T NGUYEN D.D.S. (DENTIST)
(562) 463-1111
Entity
Organization
Contact information
Practice address
11408 E WASHINGTON BLVD, WHITTIER, CA 90606-3122
(562) 463-1111
(562) 463-8994
Mailing address
11408 WASHINGTON BLVD, WHITTIER, CA 90606-3122
(562) 463-1111
(562) 463-8994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92287-02
DENTICAL
CA
Enumeration date
04/13/2007
Last updated
08/22/2020
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