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General NPI Number Information
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NPI Number | 1477049724
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Entity Type | Organization
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Legal Business Name | STEVEN J. NGUYEN, DDS. PC.
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 9506 HAMILTON AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-8074
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Country | US
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Telephone | 657-329-4100
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Fax | 714-908-7728
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Provider Business Mailing Address
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Address Line | 9506 HAMILTON AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-8074
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Country | US
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Telephone | 657-329-4100
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Fax | 714-908-7728
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Authorized Official
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Title or Position | MANAGING DENTIST
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Name | DR. STEVEN JAMES NGUYEN
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Credential | DDS
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Telephone | 657-329-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 47397
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License Number State | CA
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