Organization
DR A NGUYEN DDS INC
Active
Other names
KIDS R US DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANH LOAN NGUYEN DDS (PRESIDENT)
(714) 478-5416
Entity
Organization
Contact information
Practice address
325 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4155
(714) 478-5416
Mailing address
1431 HIGH BLUFF DR, NEWPORT BEACH, CA 92660-8202
(714) 478-5416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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