Organization
DAT NGUYEN D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAT QUOC NGUYEN D.D.S. (OWNER)
(626) 280-6733
Entity
Organization
Contact information
Practice address
9008 GARVEY AVE, SUITE B, ROSEMEAD, CA 91770-3360
(626) 280-6733
(626) 280-7906
Mailing address
9008 GARVEY AVE, SUITE B, ROSEMEAD, CA 91770-3360
(626) 280-6733
(626) 280-7906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G94106-01
MEDI-CAL DENTAL ID #
CA
Enumeration date
03/23/2007
Last updated
08/22/2020
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