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Organization
KIMBERLY BAO NGUYEN, A DENTAL CORP
Active
Organization
KIMBERLY BAO NGUYEN, A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BAO NGUYEN DDS (PRESIDENT)
17148999604
Entity
Organization
Contact information
Practice address
11352 1/2 RENAISSANCE WAY, STANTON, CA 90680-3391
(171) 489-9960
(171) 476-6438
Mailing address
11352 1/2 RENAISSANCE WAY, STANTON, CA 90680-3391
(171) 489-9960
(171) 476-6438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52094
CA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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