| 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 |