Individual
MRS. DAT THI NGHIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10921 WILSHIRE BLVD. #1112, LOS ANGELES, CA 90024
(310) 208-4084
(310) 824-1369
Mailing address
10921 WILSHIRE BLVD. #1112, LOS ANGELES, CA 90024
(310) 208-4084
(310) 824-1369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D41119
—
CA
Enumeration date
10/12/2006
Last updated
05/16/2023
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