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Organization
SEAN NGUYEN, DDS INC.
Active
Organization
SEAN NGUYEN, DDS INC.
Active
Other names
Lake Forest Modern Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN NGUYEN DDS (PRESIDENT)
(949) 415-7776
Entity
Organization
Contact information
Practice address
23642 ROCKFIELD BLVD, STE 504, LAKE FOREST, CA 92630-1681
(949) 415-7776
(949) 916-9906
Mailing address
23642 ROCKFIELD BLVD, STE 504, LAKE FOREST, CA 92630-1681
(949) 415-7776
(949) 916-9906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58399
CA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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