Kimberly Bao Nguyen, a Dental Corp

NPI #1447547476 in Stanton, California

Provider Information

NPI Number: 1447547476
Entity Type: Organization
Organization Name: Kimberly Bao Nguyen, a Dental Corp
Primary Specialty: Dentist
Enumeration Date: Jun 28, 2011
Last Updated: Jun 28, 2011

Practice Location

Address: 11352 1/2 RENAISSANCE WAY
City: Stanton
State: California
ZIP Code: 90680-3391
Phone: (171) 489-9960

Authorized Official

Name: KIMBERLY BAO NGUYEN, DDS
Title: PRESIDENT
Phone: 17148999604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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