# MARY PHUOC NGUYEN, DMD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588789184
- **Authorized official:** DR. MARY PHUOC THI NGUYEN D,M.D. (CEO)
- **Authorized official phone:** (714) 638-7359

## Contact information

- **Practice address:** 13242 CENTURY BLVD, GARDEN GROVE, CA 92843-1247
- **Practice address phone:** (714) 638-7359
- **Practice address fax:** (714) 638-7399
- **Mailing address:** 13242 CENTURY BLVD, GARDEN GROVE, CA 92843-1247
- **Mailing address phone:** (714) 638-7359
- **Mailing address fax:** (714) 638-7399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 45161 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020