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Organization
MARY PHUOC NGUYEN, DMD, INC
Active
Organization
MARY PHUOC NGUYEN, DMD, INC
Active
Other names
Heritage Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY PHUOC THI NGUYEN D,M.D. (CEO)
(714) 638-7359
Entity
Organization
Contact information
Practice address
13242 CENTURY BLVD, GARDEN GROVE, CA 92843-1247
(714) 638-7359
(714) 638-7399
Mailing address
13242 CENTURY BLVD, GARDEN GROVE, CA 92843-1247
(714) 638-7359
(714) 638-7399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45161
CA
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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