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NPI Code Detail

MEDICARE: MRS. NANCY MGUYEN DINH DDS

MEDICARE: MRS. NANCY MGUYEN DINH DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30684CA

General Provider Information

NPI Number : 1285621508
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY MGUYEN DINH DDS
Provider Business Mailing Address
First Line : 2619 W EDINGER AVE
Second Line : STE A3
City : SANTA ANA
State : CA
Zip : 92704-3501
Country : US
Telephone Number : 714-751-4072
Fax Number : 714-751-8104
Provider Business Practice Location Address
First Line : 2619 W EDINGER AVE
Second Line : STE A 3
City : SANTA ANA
State : CA
Zip : 92704-3501
Country : US
Telephone Number : 714-751-4072
Fax Number : 714-751-8104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 07/08/2007

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