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Organization
MARK K. NGUYEN DENTAL BUSINESS A PROF CORP
Active
Organization
MARK K. NGUYEN DENTAL BUSINESS A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK K NGUYEN D.D.S. (OWNER)
(714) 545-0484
Entity
Organization
Contact information
Practice address
1202 BRISTOL ST, 140, COSTA MESA, CA 92626-8605
(714) 545-0484
Mailing address
1202 BRISTOL ST., 140, COSTA MESA, CA 92626
(714) 545-0484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53472
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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