Individual
ALLAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3560 ARLINGTON AVE, RIVERSIDE, CA 92506-3936
(909) 680-1200
Mailing address
PO BOX 3430, FULLERTON, CA 92834-3430
(909) 680-1200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
45396
CA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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