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Organization
MIMIE TRANG-ANH NGUYEN DMD INC
Active
Organization
MIMIE TRANG-ANH NGUYEN DMD INC
Active
Other names
Lake Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRANG-ANH MIMIE NGUYEN DMD (OWNER)
(626) 791-5432
Entity
Organization
Contact information
Practice address
930 N LAKE AVE, PASADENA, CA 91104-4517
(626) 791-5432
(626) 791-5431
Mailing address
930 N LAKE AVE, PASADENA, CA 91104-4517
(626) 791-5432
(626) 791-5431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44971
CA
Other
Enumeration date
04/25/2006
Last updated
09/23/2014
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