Provider Demographics
NPI:1508281379
Name:NGUYEN & FOSTER CORP
Entity Type:Organization
Organization Name:NGUYEN & FOSTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DENTIST
Authorized Official - Phone:714-210-0169
Mailing Address - Street 1:1431 HIGH BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8202
Mailing Address - Country:US
Mailing Address - Phone:714-210-0169
Mailing Address - Fax:714-972-0162
Practice Address - Street 1:512 W 17TH ST STE B
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3678
Practice Address - Country:US
Practice Address - Phone:714-210-0169
Practice Address - Fax:714-972-0162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty