Individual
DR. BRIAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16903 BEACH BLVD, HUNTINGTON BEACH, CA 92647-4808
(714) 379-6248
Mailing address
2213 W KNOX AVE, SANTA ANA, CA 92704-5542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414571
VA
122300000X
Dentist
Primary
64309
CA
Other
Enumeration date
08/07/2014
Last updated
12/20/2018
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