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Organization
KHOI NGUYEN PROFESSIONAL DENTAL CORPORATION
Active
Organization
KHOI NGUYEN PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHOI NGUYEN DDS (CEO)
(310) 844-5490
Entity
Organization
Contact information
Practice address
1711 VIA EL PRADO STE 303, REDONDO BEACH, CA 90277-5723
(310) 889-8734
Mailing address
1711 VIA EL PRADO STE 303, REDONDO BEACH, CA 90277-5723
(310) 889-8734
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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