Organization
JIMMY VU NGO D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY VU NGO D.D.S. (ORTHODONTIST)
(714) 530-8577
Entity
Organization
Contact information
Practice address
10212 WESTMINSTER AVE STE 104, GARDEN GROVE, CA 92843-4800
(714) 530-8577
(714) 530-8578
Mailing address
10212 WESTMINSTER AVE STE 104, GARDEN GROVE, CA 92843-4800
(714) 530-8577
(714) 530-8578
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
45395
CA
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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