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Organization
TOM NGUYEN DDS INC
Active
Organization
TOM NGUYEN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM NGUYEN DDS (PRESIDENT)
(323) 231-6663
Entity
Organization
Contact information
Practice address
4301 S FIGUEROA ST, SUITE A, LOS ANGELES, CA 90037-2660
(323) 231-6663
(323) 231-0605
Mailing address
4301 S FIGUEROA ST, SUITE A, LOS ANGELES, CA 90037-2660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9148502
DENTICAL PROVIDER NUMBER
CA
Enumeration date
01/18/2007
Last updated
08/22/2020
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