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Organization

JIMMY NGUYEN D.D.S., INC

Active
Other names
Melody Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIMMY NGUYEN (PRESIDENT/DENTIST)
(951) 276-2877
Entity
Organization

Contact information

Practice address
7120 INDIANA AVE, SUITE B, RIVERSIDE, CA 92504-4562
(951) 276-2877
(951) 276-1124
Mailing address
7120 INDIANA AVE, SUITE B, RIVERSIDE, CA 92504-4562
(951) 276-2877
(951) 276-1124

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
57891
CA
302R00000X
Health Maintenance Organization
57891
CA
305R00000X
Preferred Provider Organization
Primary
57891
CA
305S00000X
Point of Service
57891
CA

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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