Organization Name: | RIGHT CHOICE DENTAL GROUP, |
NPI Number: | 1023496023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY DUNG NGUYEN (DENTIST) |
Mailing Address: | 360 E 7th St Ste N Upland |
State: | CA US |
Postal Code: | 917866701 |
Phone Number: | 9099206064 |
Fax Number: | 9099201920 |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 47971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |