Organization
JONAH AND CALEB SMILE PARTNERSHIP
Active
Other names
Riverside Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRANG THUY NGUYEN DDS, MS (PARTNER)
(714) 251-1614
Entity
Organization
Contact information
Practice address
7170 INDIANA AVE, RIVERSIDE, CA 92504-4544
(951) 248-0567
Mailing address
5394 WALNUT AVE STE H, IRVINE, CA 92604-2591
(949) 262-9567
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
56206
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58041
CA
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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