Individual
DR. JEFFREY VU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
4950 BARRANCA PKWY STE 202, IRVINE, CA 92604-4687
(949) 679-3470
Mailing address
4950 BARRANCA PKWY STE 202, IRVINE, CA 92604-4687
(949) 679-3470
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS100052
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
142522
CA
Other
Enumeration date
05/14/2010
Last updated
01/15/2019
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