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Individual

DR. DERICK TUAN NGUY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
25155 MADISON AVE, MURRIETA, CA 92562-8974
(951) 834-9752
Mailing address
8881 SUMNER PLACE, CYPRESS, CA 90630
(714) 757-3454

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53931
CA

Other

Enumeration date
12/08/2006
Last updated
07/08/2007
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