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Organization
ZINFANDEL DENTAL PRACTICE
Active
Organization
ZINFANDEL DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HUYNH NGUYEN D.M.D (OWNER)
(916) 638-5833
Entity
Organization
Contact information
Practice address
2001 ZINFANDEL DR STE B5, RANCHO CORDOVA, CA 95670-4265
(916) 638-5833
(916) 638-4107
Mailing address
2001 ZINFANDEL DR STE B5, RANCHO CORDOVA, CA 95670-4265
(916) 638-5833
(916) 638-4107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93130-01
DENTI-CAL BILLING NUMBER
CA
Enumeration date
08/01/2007
Last updated
11/21/2008
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