Individual
DR. NATALIE NGUYEN TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DDS
Contact information
Practice address
925 W 34TH ST, DEN 149, LOS ANGELES, CA 90089-0058
(213) 740-9648
Mailing address
925 W 34TH ST, DEN 149, LOS ANGELES, CA 90089-0058
(213) 740-9648
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
28642
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
58329
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A133495
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
P8557
TX
Other
Enumeration date
09/11/2008
Last updated
09/23/2015
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