Organization
CHULA VISTA PERIODONTICS
Active
Other names
Chula VIsta Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN NGUYEN D.D.S., M.S.D. (PERIODONTIST)
(619) 425-9770
Entity
Organization
Contact information
Practice address
345 F ST STE 240, CHULA VISTA, CA 91910-2634
(619) 425-9770
(619) 425-9797
Mailing address
345 F ST STE 240, CHULA VISTA, CA 91910-2634
(619) 425-9770
(619) 425-9797
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
48526
CA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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