Provider Demographics
NPI:1235252685
Name:NGUYEN, STEVEN THUAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:THUAT
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25100 HANCOCK AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5980
Mailing Address - Country:US
Mailing Address - Phone:951-304-7881
Mailing Address - Fax:951-304-7882
Practice Address - Street 1:25100 HANCOCK AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5980
Practice Address - Country:US
Practice Address - Phone:951-304-7881
Practice Address - Fax:951-304-7882
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA487581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice