Organization
SON NGUYEN DDS, INC
Active
Other names
LOTUS DENTAL SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SON VAN NGUYEN DDS (DENTIST)
(714) 379-2560
Entity
Organization
Contact information
Practice address
9039 BOLSA AVENUE, STE 116, WESTMINSTER, CA 92683
(714) 379-2560
Mailing address
9039 BOLSA AVE STE 116, WESTMINSTER, CA 92683-5593
(714) 379-2560
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
43049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93065-02
DENITCAL
CA
Enumeration date
08/14/2014
Last updated
08/14/2014
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