| John & Elizabeth Nguyen Dental Corp | |
| 
					1352 Concannon Blvd Building H Livermore CA 94550-6004  | |
| (925) 961-1101 | |
| (925) 961-1126 | 
| Full Name | John & Elizabeth Nguyen Dental Corp | 
|---|---|
| Speciality | Dentist | 
| Location | 1352 Concannon Blvd, Livermore, California | 
| Authorized Official Name and Position | John Tien Nguyen (OWNER) | 
| Authorized Official Contact | 9259611101 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| John & Elizabeth Nguyen Dental Corp 5733 Newfields Ln Dublin CA 94568-8781 Ph: (925) 719-0532  | John & Elizabeth Nguyen Dental Corp 1352 Concannon Blvd Building H Livermore CA 94550-6004 Ph: (925) 961-1101  | 
| NPI Number | 1265646905 | 
|---|---|
| Provider Enumeration Date | 05/10/2007 | 
| Last Update Date | 04/13/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265646905 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 50962 (California) | Primary | 
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