Organization
DR PAULINE NGUYEN DDS INC
Active
Other names
Santa Maria Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE NGUYEN DDS (OWNER PRESIDENT)
(714) 994-1456
Entity
Organization
Contact information
Practice address
6039 BEACH BLVD, BUENA PARK, CA 90621-2304
(714) 994-1456
(714) 994-1530
Mailing address
6039 BEACH BLVD, BUENA PARK, CA 90621-2304
(714) 994-1456
(714) 994-1530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9354001
—
CA
Enumeration date
11/09/2005
Last updated
08/22/2020
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