Individual
ANTHONY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4251 S HIGUERA ST STE 101, SAN LUIS OBISPO, CA 93401-7739
(805) 538-1888
Mailing address
11929 OAK HIGHLAND DR, DALLAS, TX 75243-9401
(469) 878-2947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102146
CA
1223G0001X
General Practice Dentistry
32214
TX
Other
Enumeration date
09/16/2016
Last updated
03/17/2018
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