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Organization
I SMILE DENTAL GROUP
Active
Organization
I SMILE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TU QUYNH NGUYEN DDS (PROVIDER)
17146026327
Entity
Organization
Contact information
Practice address
2710 N GRAND AVE, SANTA ANA, CA 92705-8750
(171) 460-2632
(714) 602-6275
Mailing address
2710 N GRAND AVE, SANTA ANA, CA 92705-8750
(171) 460-2632
(714) 602-6275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49617
—
CA
Enumeration date
02/24/2017
Last updated
02/24/2017
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