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Provider Information for 1487783163

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. CHINH TRUONG NGUYEN D.D.S.

Gender: MALE

Individual NPI: 1487783163

Calendar   Last Updated:  2010-12-13
  Certification Date: 

Details

Name Value
NPI 1487783163
Enumeration Date 2007-03-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2520 H STREET SUITE B
BAKERSFIELD, CA 93301-2800
United States

Phone: 661-665-9336 | Fax: 661-631-1116
View Map External Link
Primary Practice Address 2520 H ST SUITE B
BAKERSFIELD, CA 93301-2800
United States

Phone: 661-324-1200 | Fax: 661-324-5858
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other STATE LICENSE CA 44963
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 44963