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Organization
LONG NGUYEN D.D.S. A DENTAL CORPORATION
Active
Organization
LONG NGUYEN D.D.S. A DENTAL CORPORATION
Active
Other names
Sierra Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG BAO NGUYEN D.D.S. (CEO)
(916) 788-8450
Entity
Organization
Contact information
Practice address
9290 SIERRA COLLEGE BLVD STE 300, ROSEVILLE, CA 95661-5919
(916) 788-8450
(916) 788-8452
Mailing address
9290 SIERRA COLLEGE BLVD STE 300, ROSEVILLE, CA 95661-5919
(916) 788-8450
(916) 788-8452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45159
CA
Other
Enumeration date
05/20/2007
Last updated
08/22/2020
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