Individual
CATHERINE N NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
837 W CHRISTOPHER ST, WEST COVINA, CA 91790-3761
(714) 277-0718
Mailing address
1689 AMBERWOOD DR APT 209, SOUTH PASADENA, CA 91030-1908
(714) 277-0718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104400
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/09/2018
Last updated
09/05/2019
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