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Organization
NG DENTAL CORP
Active
Organization
NG DENTAL CORP
Active
Other names
Nipomo Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS NG DDS (OWNER/DENTIST)
(805) 929-1888
Entity
Organization
Contact information
Practice address
195 N THOMPSON AVE, STE. 3, NIPOMO, CA 93444-9029
(805) 929-1888
(805) 929-1880
Mailing address
195 N THOMPSON AVE, STE. 3, NIPOMO, CA 93444-9029
(805) 929-1888
(805) 929-1880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56490
CA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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