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Organization
QUYEN B NGUYEN DDS INC
Active
Organization
QUYEN B NGUYEN DDS INC
Active
Other names
Bella Terra Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYEN B NGUYEN DDS (DENTIST/ CEO)
(209) 224-8104
Entity
Organization
Contact information
Practice address
1110 W KETTLEMAN LN, SUITE 47, LODI, CA 95240-6031
(209) 224-8104
(209) 224-8491
Mailing address
1110 W KETTLEMAN LN, SUITE 47, LODI, CA 95240-6031
(209) 224-8104
(209) 224-8491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54291
CA
Other
Enumeration date
06/03/2011
Last updated
10/30/2013
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