Provider Demographics
NPI:1760693931
Name:NGUYEN, ADELINE MINH HOANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADELINE
Middle Name:MINH HOANG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15862 ROSE LN
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7334
Mailing Address - Country:US
Mailing Address - Phone:714-658-0808
Mailing Address - Fax:
Practice Address - Street 1:15862 ROSE LN
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7334
Practice Address - Country:US
Practice Address - Phone:714-658-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49956122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist