Organization
THANH NGOC NGUYEN, DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE THANH HA BUI-TILLMAN DDS (DENTIST)
(714) 531-5175
Entity
Organization
Contact information
Practice address
15355 BROOKHURST ST, SUITE101, WESTMINSTER, CA 92683-7077
(714) 531-5175
Mailing address
15355 BROOKHURST ST, SUITE101, WESTMINSTER, CA 92683-7077
(714) 531-5175
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
29401
CA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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