Individual
AN DUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2045 W BRIGGSMORE AVE, MODESTO, CA 95350-3767
(714) 571-3389
Mailing address
3366 GINGHAM CT, CHINO HILLS, CA 91709-2811
(909) 217-8137
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104737
CA
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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