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Organization
NGUYEN, MINH, DDS A DENTAL CORP
Active
Organization
NGUYEN, MINH, DDS A DENTAL CORP
Active
Parent organization
NGUYEN, MINH, DDS A DENTAL CORPORATION
Other names
Beach Grove Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
NGUYEN, MINH, DDS A DENTAL CORPORATION
Authorized official
MR. MINH DUC NGUYEN DDS (PRESIDENT)
(714) 890-1122
Entity
Organization
Contact information
Practice address
12880 BEACH BLVD, SUITE AA, STANTON, CA 90680
(714) 890-1122
(714) 896-9512
Mailing address
12880 BEACH BLVD, SUITE AA, STANTON, CA 90680
(714) 890-1122
(714) 896-9512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B45505-01
MEDI - CAL
CA
Enumeration date
11/14/2008
Last updated
11/14/2008
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