Individual
DR. DAT QUOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9008 GARVEY AVE., STE B AND C, ROSEMEAD, CA 91770-3360
(626) 280-6733
(626) 280-7906
Mailing address
14282 BROOKHURST ST STE 6, GARDEN GROVE, CA 92843-4663
(714) 531-6487
(714) 531-6488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B46660-01
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
09/26/2006
Last updated
07/06/2021
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