Provider Demographics
NPI:1013958636
Name:NGUYEN, DANI Q (DDS)
Entity type:Individual
Prefix:DR
First Name:DANI
Middle Name:Q
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 1:400 E COMMONWEALTH AVE
Mailing Address - Street 2:#3
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2072
Mailing Address - Country:US
Mailing Address - Phone:714-449-0022
Mailing Address - Fax:714-449-0944
Practice Address - Street 1:400 E COMMONWEALTH AVE
Practice Address - Street 2:#3
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2072
Practice Address - Country:US
Practice Address - Phone:714-449-0022
Practice Address - Fax:714-449-0944
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice