Individual
MIRNA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3202 GOVERNOR DR, SUITE 207, SAN DIEGO, CA 92122-2938
(858) 450-1334
Mailing address
3202 GOVERNOR DR, SUITE 207, SAN DIEGO, CA 92122-2938
(858) 450-1334
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60757
CA
Other
Enumeration date
11/30/2009
Last updated
05/25/2016
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