Organization
N2 PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH V NGUYEN DDS, MSD (PARTNER)
(714) 473-5479
Entity
Organization
Contact information
Practice address
3737 MORAGA AVE, SUITE A104, SAN DIEGO, CA 92117-5404
(619) 298-8315
(619) 298-4175
Mailing address
3737 MORAGA AVE, SUITE A104, SAN DIEGO, CA 92117-5404
(619) 298-8315
(619) 298-4175
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53019
CA
1223P0300X
Periodontics
—
CA
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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