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Organization
DR NGOC H NGUYEN D D S INC
Active
Organization
DR NGOC H NGUYEN D D S INC
Active
Other names
Wellness Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOC HOANG NGUYEN D.D.S. (PRESIDENT AND CEO)
(916) 691-0685
Entity
Organization
Contact information
Practice address
9390 BIG HORN BLVD, SUITE 175, ELK GROVE, CA 95758-7978
(916) 691-0685
(916) 691-0687
Mailing address
9390 BIG HORN BLVD, SUITE 175, ELK GROVE, CA 95758-7978
(916) 691-0685
(916) 691-0687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101467
DHA PRACTICE ID
CA
01
—
B48837-02
DDSGP-BILLING PROVIDER ID
CA
Enumeration date
01/25/2008
Last updated
02/03/2009
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