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General NPI Number Information
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NPI Number | 1760644488
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER DAI NGUYEN D.D.S., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 7611 WESTMINSTER BLVD STE B
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City | WESTMINSTER
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State | CA
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Zip | 92683-3909
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Country | US
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Telephone | 714-379-2144
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Fax | 714-379-2116
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Provider Business Mailing Address
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Address Line | 7611 WESTMINSTER BLVD STE B
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City | WESTMINSTER
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State | CA
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Zip | 92683-3909
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Country | US
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Telephone | 714-379-2144
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Fax | 714-379-2116
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER DAI NGUYEN
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Credential | D.D.S
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Telephone | 714-235-5542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 53254
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License Number State | CA
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