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NPI 1154725612 · live from the CMS NPI Registry

29 Palms Dental Group, An Nguyen DDS Ms Corp

Dentist, General Practice in Twentynine Palms, CA. National Provider Identifier 1154725612, active.

NPI record

NPI1154725612 Type 2 · organization
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location73666 Joshua Dr, Twentynine Palms, CA 92277
Practice phone760-865-0544
EnumeratedOctober 13, 2014
Last updatedJuly 15, 2020
Authorized officialAn Nguyen, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice primary1223G0001X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.