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Organization
TRACY NGUYEN, D.D.S., PROFESSIONAL DENTAL CORP.
Active
Organization
TRACY NGUYEN, D.D.S., PROFESSIONAL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY T NGUYEN D.D.S. (CEO)
(714) 554-9358
Entity
Organization
Contact information
Practice address
13872 HARBOR BLVD STE 1A-3, GARDEN GROVE, CA 92843-4041
(714) 554-9358
(714) 554-9359
Mailing address
13872 HARBOR BLVD STE 1A-3, GARDEN GROVE, CA 92843-4041
(714) 554-9358
(714) 554-9359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47647
CA
Other
Enumeration date
11/10/2006
Last updated
06/27/2014
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