Organization · NPI-2

Alan Long Nguyen DDS, INC.

Dentist, General Practice · Westminster, CA

NPI number1205016458
StatusActive
Last updated in NPPESMay 17, 2021

Details

NPI
1205016458
Entity type
Organization (NPI-2)
Legal business name
Alan Long Nguyen DDS, INC.
Organization subpart
No
Enumeration date
Nov 5, 2007
Certification date
May 17, 2021
Last updated
May 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice37358CAYes

Practice location

13382 Goldenwest St Ste 110
Westminster, CA 92683-2247

Phone 714-379-5040 · Fax 714-379-5042

Mailing address

13382 Goldenwest St Ste 110
Westminster, CA 92683-2247

Phone 714-379-5040 · Fax 714-379-5042

Authorized official

Alan Long Nguyen
Dentist/Owner
7143795040

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