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Individual

MATTHEW NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1417 S WESTGATE AVE PH 2, LOS ANGELES, CA 90025-5277
(818) 857-1154
Mailing address
1417 S WESTGATE AVE PH 2, LOS ANGELES, CA 90025-5277

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS107114
CA

Other

Enumeration date
06/09/2020
Last updated
07/01/2025
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