Provider Demographics
NPI:1437264363
Name:NGO, NHATTU (DDS)
Entity Type:Individual
Prefix:DR
First Name:NHATTU
Middle Name:
Last Name:NGO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:15463 FAIRFIELD RANCH RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-8855
Mailing Address - Country:US
Mailing Address - Phone:909-606-0303
Mailing Address - Fax:909-606-9903
Practice Address - Street 1:15463 FAIRFIELD RANCH RD
Practice Address - Street 2:SUITE G
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-8855
Practice Address - Country:US
Practice Address - Phone:909-606-0303
Practice Address - Fax:909-606-9903
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42860122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist