Organization
AN NGUYEN DDS PROF CORP
Active
Other names
29 Palms Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AN V NGUYEN DDS (DENTIST)
(760) 865-0544
Entity
Organization
Contact information
Practice address
73666 JOSHUA DR., TWENTYNINE PALMS, CA 92277
(760) 865-0544
(888) 877-5510
Mailing address
73666 JOSHUA DR., TWENTYNINE PALMS, CA 92277
(760) 865-0544
(888) 877-5510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56731
CA
1223G0001X
General Practice Dentistry
57500
CA
1223G0001X
General Practice Dentistry
59641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104963750
INDIVIDUAL DENTAL PROVIDERS
CA
01
—
1780801969
INDIVIDUAL DENTAL PROVIDER
CA
01
—
1942538160
INDIVIDUAL DENTAL PROVIDER
CA
Enumeration date
12/28/2010
Last updated
11/21/2012
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