# DR PAULINE NGUYEN DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Maria Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467433276
- **Authorized official:** PAULINE NGUYEN DDS (OWNER PRESIDENT)
- **Authorized official phone:** (714) 994-1456

## Contact information

- **Practice address:** 6039 BEACH BLVD, BUENA PARK, CA 90621-2304
- **Practice address phone:** (714) 994-1456
- **Practice address fax:** (714) 994-1530
- **Mailing address:** 6039 BEACH BLVD, BUENA PARK, CA 90621-2304
- **Mailing address phone:** (714) 994-1456
- **Mailing address fax:** (714) 994-1530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 49954 | CA | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | G9354001 | — | CA |