Organization
DUY NGUYEN DDS, PROFESSIONAL DENTAL CORPORATION
Active
Other names
Pacific Manor Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUY MINH NGUYEN DDS (OWNER)
(650) 735-1608
Entity
Organization
Contact information
Practice address
55 BILL DRAKE WAY STE B, PACIFICA, CA 94044-1802
(650) 735-1608
(888) 509-8199
Mailing address
55 BILL DRAKE WAY STE B, PACIFICA, CA 94044-1802
(650) 735-1608
(888) 509-8199
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
06/11/2019
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