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Organization
NGUYEN LY NGUY DENTAL CORP
Active
Organization
NGUYEN LY NGUY DENTAL CORP
Active
Parent organization
WEST CORONA DENTISTRY
Other names
West Corona Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CORONA DENTISTRY
Authorized official
TUAN LY DDS (OWNER/PARTNER)
(951) 340-0200
Entity
Organization
Contact information
Practice address
4264 GREEN RIVER RD, SUITE 102, CORONA, CA 92880
(951) 340-0200
(951) 278-9858
Mailing address
4264 GREEN RIVER RD, SUITE 102, CORONA, CA 92880
(951) 340-0200
(951) 278-9858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
01/04/2019
Last updated
10/06/2020
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