Organization
BOULEVARD DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAN KIM NGUYEN DDS (DDS OWNER)
(619) 584-8975
Entity
Organization
Contact information
Practice address
3531 EL CAJON BLVD #A, SAN DIEGO, CA 92104
(619) 584-8975
(619) 584-0682
Mailing address
3531 EL CAJON BLVD #A, SAN DIEGO, CA 92104
(619) 584-8975
(619) 584-0682
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/07/2008
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