Individual
AN VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
73666 JOSHUA DR, TWENTYNINE PALMS, CA 92277-2572
(760) 666-3711
(760) 673-7321
Mailing address
73666 JOSHUA DR, TWENTYNINE PALMS, CA 92277-2572
(760) 666-3711
(760) 673-7321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 17043
FL
1223G0001X
General Practice Dentistry
56731
CA
Other
Enumeration date
01/31/2007
Last updated
07/15/2020
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