Individual
HOA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
12875 OAKDALE ST, CORONA, CA 92880-8548
(714) 474-1758
Mailing address
12875 OAKDALE ST, CORONA, CA 92880-8548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64645
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
64645
CA
Other
Enumeration date
07/04/2015
Last updated
04/29/2021
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