Individual
DR. KHANG CONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3393 G ST STE B, MERCED, CA 95340-0964
(209) 385-1479
(209) 723-7087
Mailing address
3393 G ST STE B, MERCED, CA 95340-0964
(209) 385-1479
(209) 723-7087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
51984
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
51984
CA
Other
Enumeration date
10/10/2006
Last updated
07/30/2019
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