# PNT NGUYEN DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corona Endodontic Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902938376
- **Authorized official:** PAUL N T NGUYEN DDS (OWNER)
- **Authorized official phone:** (951) 898-2050

## Contact information

- **Practice address:** 1810 FULLERTON AVENUE, S \# 106, CORONA, CA 92881
- **Practice address phone:** (951) 898-2050
- **Practice address fax:** (951) 898-7576
- **Mailing address:** 1810 FULLERTON AVENUE, S \# 106, CORONA, CA 92881
- **Mailing address phone:** (951) 898-2050
- **Mailing address fax:** (951) 898-7576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 44969 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 08/22/2020