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Organization

KAITLYN PHUC THUAN NGUYEN, DDS, INC

Active
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Organization

KAITLYN PHUC THUAN NGUYEN, DDS, INC

Active
Other names
Family Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAITLYN NGUYEN D.D.S. (PRESIDENT)
(951) 656-1599
Entity
Organization

Contact information

Practice address
22940 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-8553
(951) 656-1599
(951) 656-2519
Mailing address
22940 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-8553
(951) 656-1599
(951) 656-2519

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48651
CA

Other

Enumeration date
03/20/2007
Last updated
08/22/2020
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