Individual
DR. CHAN KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3531 EL CAJON BLVD #A, SAN DIEGO, CA 92104
(619) 584-8975
(619) 584-0682
Mailing address
3531 EL CAJON BLVD #A, SAN DIEGO, CA 92104
(619) 584-8975
(619) 584-0682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28965
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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