Provider Demographics
NPI:1841598299
Name:RAINCROSS DENTAL
Entity Type:Organization
Organization Name:RAINCROSS DENTAL
Other - Org Name:CATHERINE NGUYEN, DDS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-367-1345
Mailing Address - Street 1:7028 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4157
Mailing Address - Country:US
Mailing Address - Phone:951-367-1345
Mailing Address - Fax:951-367-1347
Practice Address - Street 1:7028 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4157
Practice Address - Country:US
Practice Address - Phone:951-367-1345
Practice Address - Fax:951-367-1347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42863122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty