| Tuan M Nguyen Dds Professional Corporation | |
| 
					473 Encinitas Blvd Enacinitas CA 92024  | |
| (760) 634-2024 | |
| (760) 634-7970 | 
| Full Name | Tuan M Nguyen Dds Professional Corporation | 
|---|---|
| Speciality | Dentist | 
| Location | 473 Encinitas Blvd, Enacinitas, California | 
| Authorized Official Name and Position | Cathleen A Domingo-nguyen (SPOUSE CO OWNER SEC OF CORP) | 
| Authorized Official Contact | 7606342024 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tuan M Nguyen Dds Professional Corporation 473 Encinitas Blvd Enacinitas CA 92024 Ph: (760) 634-2024  | Tuan M Nguyen Dds Professional Corporation 473 Encinitas Blvd Enacinitas CA 92024 Ph: (760) 634-2024  | 
| NPI Number | 1538261276 | 
|---|---|
| Provider Enumeration Date | 09/02/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538261276 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | CA43333 (California) | Secondary | 
| 122300000X | Dentist | CA42750 (California) | Primary |