Nguyen, Anthony D

Nguyen, Anthony D is an individual health care provider with primary practice located at 1290 N Garey Ave , Pomona CA 91767. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nguyen, Anthony D can be contacted via phone (909) 623-1564.

Contact Information

Primary practice address
1290 N Garey Ave Pomona CA 91767
Phone: (909) 623-1564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 47971 California

Profile Details

NPI number 1821145079
LBN Legal business name Nguyen, Anthony D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jun 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821145079 NPPES
California MEDICAID B4797101

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