Individual
DR. DOUGLAS DUC TIEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9600 BOLSA AVE STE E, WESTMINSTER, CA 92683-5949
(714) 839-9800
(714) 839-9894
Mailing address
9600 BOLSA AVE STE E, WESTMINSTER, CA 92683-5949
(714) 839-9800
(714) 839-9894
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D40970
DENTI-CAL OLD RENDERING PROVIDER NUMBER
CA
Enumeration date
04/25/2007
Last updated
04/30/2008
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