Organization
JIMMY VU NGO D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY NGO D.D.S (ORTHODONTIST)
(714) 530-8577
Entity
Organization
Contact information
Practice address
10562 WESTMINSTER AVENUE, SUITE #B, GARDEN GROVE, CA 92843-4800
(714) 530-8577
(714) 530-8578
Mailing address
10562 WESTMINSTER AVE STE B, GARDEN GROVE, CA 92843-4864
(714) 530-8577
(714) 530-8578
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B0435
—
CA
Enumeration date
04/06/2009
Last updated
06/07/2013
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