Individual
JUSTIN LEE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1251 E IMPERIAL HWY, PLACENTIA, CA 92870-1718
(714) 528-8292
Mailing address
1251 E IMPERIAL HWY, PLACENTIA, CA 92870-1718
(714) 528-8292
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A166485
CA
Other
Enumeration date
04/21/2014
Last updated
12/20/2021
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