Organization
ANISHA NGUYEN DDS PROF. CORP.
Active
Other names
Anisha Nguyen DDS Prof. Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISHA NGUYEN DDS (CEO)
(714) 651-6725
Entity
Organization
Contact information
Practice address
5127 W EDINGER AVE STE E, SANTA ANA, CA 92704-1969
(714) 775-0650
Mailing address
10551 CLAUSSEN ST, GARDEN GROVE, CA 92840-5040
(714) 651-6725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
09/21/2020
Last updated
10/02/2020
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