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NPI Code Detail

MEDICARE: DR. LOC VAN NGUYEN DMD

MEDICARE: DR. LOC VAN NGUYEN DMD
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
1122300000XDentist47769CA

General Provider Information

NPI Number : 1386706422
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOC VAN NGUYEN DMD
Provider Business Mailing Address
First Line : 31625 HIGHWAY 101 S
Second Line :
City : SOLEDAD
State : CA
Zip : 93960-9529
Country : US
Telephone Number : 831-678-5500
Fax Number : 831-678-6245
Provider Business Practice Location Address
First Line : 31625 HIGHWAY 101 S
Second Line :
City : SOLEDAD
State : CA
Zip : 93960-9529
Country : US
Telephone Number : 831-678-5500
Fax Number : 831-678-6245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 02/05/2014

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Directions to “ DR. LOC VAN NGUYEN DMD” Practice Location

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