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Organization
TIEN THI MY NGO DDS INC
Active
Organization
TIEN THI MY NGO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN THI MY NGO DDS (PRESIDENT)
(714) 839-6631
Entity
Organization
Contact information
Practice address
10051 BOLSA AVE, # A1, WESTMINSTER, CA 92683
(714) 839-6631
(714) 839-2475
Mailing address
10051 BOLSA AVE, # A1, WESTMINSTER, CA 92683
(714) 839-6631
(714) 839-2475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B3714401
—
CA
Enumeration date
02/27/2007
Last updated
08/22/2020
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