Nguyenduc, Theresa M.
Nguyenduc, Theresa M. is an individual health care provider with primary practice located at 1202 Bristol St. #110, Costa Mesa CA 92626-8201. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Nguyenduc, Theresa M. can be contacted via phone (714) 979-8008.Contact Information
Primary practice address
1202 Bristol St. #110
Costa Mesa CA 92626-8201
Phone: (714) 979-8008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 39853 | California |
Profile Details
| NPI number | 1982746921 |
|---|---|
| LBN Legal business name | Nguyenduc, Theresa M. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Sep 25th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982746921 | NPPES |
| California | Other | B39853 | DENTI-CAL |
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