Organization
KRYSTAL NGUYEN D.M.D., INC.
Active
Other names
Krystal Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL NGUYEN (OWNER)
(714) 725-6129
Entity
Organization
Contact information
Practice address
181 E 18TH ST STE A, COSTA MESA, CA 92627-3069
(714) 725-6129
Mailing address
601 S MOUNTAIN VIEW ST, SANTA ANA, CA 92704-2151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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