Organization
SON NGUYEN D.D.S., INC.
Active
Parent organization
SON NGUYEN DDS, INC
Other names
Lotus Dental Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
SON NGUYEN DDS, INC
Authorized official
SON VAN NGUYEN D.D.S. (C.E.O./OWNER)
(714) 379-2560
Entity
Organization
Contact information
Practice address
730 E VALLEY BLVD., SAN GABRIEL, CA 91776
(626) 286-5600
(626) 286-5605
Mailing address
730 E. VALLEY BLVD., SAN GABRIEL, CA 91776
(626) 286-5600
(626) 286-5605
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
43049
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G90365-01
DENTICAL
CA
Enumeration date
08/26/2014
Last updated
03/12/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us