Organization
SUMMIT ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY MINH NGUYEN D.M.D. (ORTHODONTIST/OWNER)
(909) 646-9600
Entity
Organization
Contact information
Practice address
15258 SUMMIT AVE, SUITE 300, FONTANA, CA 92336-0233
(909) 646-9600
(909) 646-9878
Mailing address
15258 SUMMIT AVE, SUITE 300, FONTANA, CA 92336-0233
(909) 646-9600
(909) 646-9878
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
52662
CA
Other
Enumeration date
07/19/2005
Last updated
07/06/2011
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