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Organization
DR PAULINE NGUYEN DDS INC
Active
Organization
DR PAULINE NGUYEN DDS INC
Active
Other names
Santa Maria Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE NGUYEN DDS (OWNER PRESIDENT)
(714) 994-1456
Entity
Organization
Contact information
Practice address
6039 BEACH BLVD, BUENA PARK, CA 90621-2304
(714) 994-1456
(714) 994-1530
Mailing address
6039 BEACH BLVD, BUENA PARK, CA 90621-2304
(714) 994-1456
(714) 994-1530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9354001
—
CA
Enumeration date
11/09/2005
Last updated
08/22/2020
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