Organization
ANTHONY D. NGUYEN, DDS, INC
Active
Other names
Pomona Valley Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY DUNG NGUYEN DDS (PRESIDENT)
(909) 623-1564
Entity
Organization
Contact information
Practice address
1290 N GAREY AVE, POMONA, CA 91767-3806
(909) 623-1564
(909) 629-9126
Mailing address
1290 N GAREY AVE, POMONA, CA 91767-3806
(909) 623-1564
(909) 629-9126
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
47971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4797101
—
CA
Enumeration date
06/28/2007
Last updated
11/13/2007
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