Organization
STEPHANIE G.Q. NGUYEN DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GIA QUYEN NGUYEN DDS (OWNER)
(714) 876-7339
Entity
Organization
Contact information
Practice address
12388 BROOKHURST ST, GARDEN GROVE, CA 92840-4753
(714) 638-2101
Mailing address
12388 BROOKHURST ST, GARDEN GROVE, CA 92840-4753
(714) 638-2101
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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