# 29 PALMS DENTAL GROUP, AN NGUYEN DDS MS CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154725612
- **Authorized official:** DR. AN VAN NGUYEN DDS, MS (CEO)
- **Authorized official phone:** (760) 865-0544

## Contact information

- **Practice address:** 73666 JOSHUA DR, TWENTYNINE PALMS, CA 92277-2572
- **Practice address phone:** (760) 865-0544
- **Practice address fax:** (888) 877-5510
- **Mailing address:** 73666 JOSHUA DR, TWENTYNINE PALMS, CA 92277-2572
- **Mailing address phone:** (760) 865-0544
- **Mailing address fax:** (888) 877-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 07/15/2020