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Organization
MY LINH THI NGUYEN DDS INC
Active
Organization
MY LINH THI NGUYEN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MY LINH THI NGUYEN DDS (DENTIST PRESIDENT)
(626) 918-2833
Entity
Organization
Contact information
Practice address
1840 N HACIENDA BLVD, #5, LA PUENTE, CA 91744
(626) 918-2833
(626) 931-2212
Mailing address
1840 N HACIENDA BLVD, #5, LA PUENTE, CA 91744
(626) 918-2833
(626) 931-2212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9187201
MEDI CAL
CA
Enumeration date
11/29/2006
Last updated
12/22/2015
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