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NPI Code Detail

MEDICARE: T. D. NGUYEN, D.D.S., INC.

MEDICARE: T. D. NGUYEN, D.D.S., INC.
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
1261QD0000XDental Clinic/Center45302CA

General Provider Information

NPI Number : 1659898278
Entity Type Code : Organization
Provider Name (Legal Business Name) : T. D. NGUYEN, D.D.S., INC.
Provider Business Mailing Address
First Line : 25432 TRABUCO RD STE 206
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-2758
Country : US
Telephone Number : 949-380-7803
Fax Number :
Provider Business Practice Location Address
First Line : 25432 TRABUCO RD STE 206
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-2758
Country : US
Telephone Number : 949-380-7803
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. TOAN DUY NGUYEN
Credential : D.D.S.
Telephone Number : 949-380-7803
Provider Enumeration Date : 08/24/2017
Last Update Date : 07/21/2022

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Directions to “T. D. NGUYEN, D.D.S., INC. ” Practice Location

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