Organization
KHANH V. NGUYEN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH V NGUYEN DDS, MSD (PRESIDENT)
(714) 473-5479
Entity
Organization
Contact information
Practice address
3570 4TH AVE, SAN DIEGO, CA 92103-4940
(619) 298-8315
(619) 298-4175
Mailing address
3570 4TH AVE, SAN DIEGO, CA 92103-4940
(619) 298-8315
(619) 298-4175
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53019
CA
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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