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Contact Information

ANTHONY D. NGUYEN, DDS, INC
1290 N GAREY AVE
POMONA, CA91767-3806
 Phone: 909-623-1564
 Fax: 909-629-9126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for ANTHONY D. NGUYEN, DDS, INC

NPI Number 1104023647
LBN Legal business name ANTHONY D. NGUYEN, DDS, INC
Authorized official ANTHONY NGUYEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2007
Last updated 11/13/2007 - About 19 years ago
Identifiers
CA License # 47971
CA Medicaid B4797101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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