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Organization
KIMANH T NGUYEN DDS INC
Active
Organization
KIMANH T NGUYEN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMANH THI NGUYEN D.D.S. (CEO)
(714) 638-2101
Entity
Organization
Contact information
Practice address
12388 BROOKHURST ST, GARDEN GROVE, CA 92840-4753
(714) 638-2101
(714) 638-9649
Mailing address
12388 BROOKHURST ST, GARDEN GROVE, CA 92840-4753
(714) 638-2101
(714) 638-9649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31964
CA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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