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Organization
TAN NGHIEM DDS, INC
Active
Organization
TAN NGHIEM DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN TRUNG NGHIEM DDS (PRESIDENT)
(714) 800-9483
Entity
Organization
Contact information
Practice address
12132 BROOKHURST ST, GARDEN GROVE, CA 92840-2817
(714) 638-7111
Mailing address
12132 BROOKHURST ST, GARDEN GROVE, CA 92840-2817
(714) 638-7111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57467
CA
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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