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NPI Code Detail

MEDICARE: MAILYNH NGUYEN DDS

MEDICARE: MAILYNH NGUYEN 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417886581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAILYNH NGUYEN DDS
Provider Business Mailing Address
First Line : 5041 YEARLING AVE
Second Line :
City : IRVINE
State : CA
Zip : 92604-2957
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2508
Country : US
Telephone Number : 949-302-1385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

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Directions to “ MAILYNH NGUYEN DDS” Practice Location

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