Provider Demographics
NPI:1760644488
Name:CHRISTOPHER DAI NGUYEN D.D.S., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:CHRISTOPHER DAI NGUYEN D.D.S., A PROFESSIONAL CORPORATION
Other - Org Name:NICE SMILES DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DAI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-235-5542
Mailing Address - Street 1:7611 WESTMINSTER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3909
Mailing Address - Country:US
Mailing Address - Phone:714-379-2144
Mailing Address - Fax:714-379-2116
Practice Address - Street 1:7611 WESTMINSTER BLVD STE B
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3909
Practice Address - Country:US
Practice Address - Phone:714-379-2144
Practice Address - Fax:714-379-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty