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Provider Information for 1487783163



DR. CHINH TRUONG NGUYEN D.D.S.

Gender: MALE

Individual NPI: 1487783163

Calendar Last Updated: 2010-12-13

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