Organization
ELIZABETH KIM NGUYEN DDS INC
Active
Other names
Tustin Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH K NGUYEN (DDS)
(714) 838-9912
Entity
Organization
Contact information
Practice address
14521 RED HILL AVE, TUSTIN, CA 92780
(714) 838-9912
(714) 838-9913
Mailing address
14521 RED HILL AVE, TUSTIN, CA 92780-6238
(714) 838-9912
(714) 838-9913
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52762
CA
Other
Enumeration date
06/12/2018
Last updated
10/18/2019
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