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Organization
JONATHAN C. NGUYEN, DDS, INC.
Active
Organization
JONATHAN C. NGUYEN, DDS, INC.
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CHUONG LE NGUYEN D.D.S (DENTIST)
(619) 281-5569
Entity
Organization
Contact information
Practice address
4575 EL CAJON BLVD STE A, SAN DIEGO, CA 92115-4390
(619) 281-5569
(619) 281-5559
Mailing address
4575 EL CAJON BLVD STE A, SAN DIEGO, CA 92115-4390
(619) 281-5569
(619) 281-5559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9289201
DENTICAL BILLING NUMBER
CA
Enumeration date
05/18/2007
Last updated
11/02/2015
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