Individual
NICHOLAS CODY NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11266 GARDEN GROVE AVE, NORTHRIDGE, CA 91326-2525
(818) 357-0145
Mailing address
11266 GARDEN GROVE AVE, NORTHRIDGE, CA 91326-2525
(818) 357-0145
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS102276
CA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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