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Organization

ELEGANT DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TU NGUYEN DDS (SECRETARY)
(626) 282-2068
Entity
Organization

Contact information

Practice address
416 W LAS TUNAS DR, SUITE 107, SAN GABRIEL, CA 91776-1236
(626) 282-2068
Mailing address
416 WEST LAS TUNAS DR, SUITE 107, SAN GABRIEL, CA 91776
(626) 282-2068

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/07/2008
Last updated
05/07/2008
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  • EDI platform