Provider Demographics
NPI:1225529316
Name:TRINH TUAN NGUYEN DMD A DENTAL CORPORATION
Entity Type:Organization
Organization Name:TRINH TUAN NGUYEN DMD A DENTAL CORPORATION
Other - Org Name:COSMETIC AND DENTAL IMPLANT CENTER / CYPRESS SMILES DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:TUAN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-993-3110
Mailing Address - Street 1:1862 N PLACENTIA AVE
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-2303
Mailing Address - Country:US
Mailing Address - Phone:714-993-3110
Mailing Address - Fax:714-993-3116
Practice Address - Street 1:1858 N PLACENTIA AVE
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-2303
Practice Address - Country:US
Practice Address - Phone:714-577-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50658122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty