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Organization
LUU & NGUYEN DENTAL CORPORATION
Active
Organization
LUU & NGUYEN DENTAL CORPORATION
Active
Other names
Perfecta Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEN P NGUYEN DDS (OWNER)
(619) 498-3888
Entity
Organization
Contact information
Practice address
314 PALOMAR ST, CHULA VISTA, CA 91911-3111
(619) 498-3888
(619) 498-4848
Mailing address
314 PALOMAR ST, CHULA VISTA, CA 91911-3111
(619) 498-3888
(619) 498-4848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50656
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1667740
UNITED CONCORDIA TRICARE
CA
01
—
B50656-01
HEALTHY FAMILY
CA
01
—
G93315-01
DENTI-CAL
CA
Enumeration date
04/24/2007
Last updated
08/22/2020
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