Individual
THAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
10 INGLESIDE, IRVINE, CA 92620-2890
(702) 882-5614
Mailing address
10 INGLESIDE, IRVINE, CA 92620-2890
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4781
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53840
CA
Other
Enumeration date
12/27/2007
Last updated
01/07/2008
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