Organization
VTNGUYEN ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINH-THY NGUYEN (CEO)
(702) 557-9528
Entity
Organization
Contact information
Practice address
31796 COAST HWY, LAGUNA BEACH, CA 92651-6974
(949) 415-1020
Mailing address
1175 BAKER ST, E19 #220, COSTA MESA, CA 92626-4101
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
48343
CA
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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