Individual
DR. AIVAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1125 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3114
(626) 291-2917
Mailing address
1125 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3114
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
56276
CA
Other
Enumeration date
08/07/2008
Last updated
06/16/2016
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