Individual
DR. ANTHONY D NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1290 N GAREY AVE, POMONA, CA 91767
(909) 623-1564
Mailing address
1290 N GAREY AVE, POMONA, CA 91767-3806
(909) 623-1564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4797101
—
CA
Enumeration date
01/03/2007
Last updated
06/27/2018
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