MEDICARE: DR. CHRISTINE NGUYEN-QUYNH HOANG 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
1	1223G0001X	General Practice Dentistry	D49110	CA

General Provider Information

NPI Number	:	1477757623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE NGUYEN-QUYNH HOANG DDS

Provider Business Mailing Address
First Line	:	16403 SHADBUSH ST
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-2038
Country	:	US
Telephone Number	:	562-400-6077
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 N EUCLID ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1954
Country	:	US
Telephone Number	:	562-400-6077
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	12/28/2016

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