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Individual
DR. PAULINE PHUONG NGUYEN
Active
Individual
DR. PAULINE PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B47143-01
DELTA DENTAL STATE GOV PR
CA
01
—
G92526-01
DENTI-CAL
CA
Enumeration date
07/07/2005
Last updated
07/13/2016
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