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Organization

CENTRE FOR PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID-TRUNG D. NGUYEN (PRESIDENT)
(909) 883-8686
Entity
Organization

Contact information

Practice address
1869 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4830
(909) 883-8686
(909) 881-6537
Mailing address
1869 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4830
(909) 883-8686
(909) 881-6537

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A82169
CA

Other

Enumeration date
03/10/2009
Last updated
01/27/2014
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