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Organization
ANTHONY D. NGUYEN, DDS, INC
Active
Organization
ANTHONY D. NGUYEN, DDS, INC
Active
Other names
Pomona Valley Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY DUNG NGUYEN DDS (PRESIDENT)
(909) 623-1564
Entity
Organization
Contact information
Practice address
1290 N GAREY AVE, POMONA, CA 91767-3806
(909) 623-1564
(909) 629-9126
Mailing address
1290 N GAREY AVE, POMONA, CA 91767-3806
(909) 623-1564
(909) 629-9126
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
47971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4797101
—
CA
Enumeration date
06/28/2007
Last updated
11/13/2007
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