Individual
DR. BAO T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
26550 YNEZ RD STE B, TEMECULA, CA 92591-4625
(951) 296-3011
(951) 296-3066
Mailing address
26550 YNEZ RD STE B, TEMECULA, CA 92591-4625
(951) 296-3011
(951) 296-3066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49164
CA
Other
Enumeration date
08/30/2006
Last updated
09/21/2010
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