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Organization
MAI NGUYEN, O.D., OPTOMETRIC CORPORATION
Active
Organization
MAI NGUYEN, O.D., OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAI NGUYEN OD (OPTOMETRIST, OWNER)
(909) 538-9246
Entity
Organization
Contact information
Practice address
15070 SUMMIT AVE STE 400, FONTANA, CA 92336-5496
(909) 538-9246
Mailing address
11520 SOLAIRE WAY, CHINO, CA 91710-7226
(909) 538-9246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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