Provider Demographics
NPI:1205978897
Name:NGUYEN, VALERIE DAO (DMD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:DAO
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9742 LENORE DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-4929
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:630 S MAIN ST
Practice Address - Street 2:SUITE #C
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5777
Practice Address - Country:US
Practice Address - Phone:714-835-7030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA530181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice