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Organization
CHULA VISTA PERIODONTICS
Active
Organization
CHULA VISTA PERIODONTICS
Active
Other names
Chula VIsta Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN NGUYEN D.D.S., M.S.D. (PERIODONTIST)
(619) 425-9770
Entity
Organization
Contact information
Practice address
345 F ST STE 240, CHULA VISTA, CA 91910-2634
(619) 425-9770
(619) 425-9797
Mailing address
345 F ST STE 240, CHULA VISTA, CA 91910-2634
(619) 425-9770
(619) 425-9797
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
48526
CA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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