Individual
ANTHONY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2210 GRIFFIN WAY, SUITE 103, CORONA, CA 92879-2441
(951) 736-0500
(951) 736-0500
Mailing address
2210 GRIFFIN WAY, SUITE 103, CORONA, CA 92879-2441
(951) 736-0500
(951) 736-0500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38104
CA
1223G0001X
General Practice Dentistry
B 38104
CA
Other
Enumeration date
12/20/2006
Last updated
10/03/2014
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