Pomona Valley Dental Practice

LBN: Anthony D. Nguyen, Dds, Inc
Pomona Valley Dental Practice is an health care organization with primary practice located at 1290 N Garey Ave , Pomona CA 91767-3806. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Anthony D. Nguyen, Dds, Inc can be contacted via phone (909) 623-1564, or through Nguyen, Anthony Dung via phone (909) 623-1564.

Contact Information

Primary practice address
1290 N Garey Ave Pomona CA 91767-3806
Phone: (909) 623-1564
Fax: (909) 629-9126
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Anthony Dung Doctor of Dental Surgery (DDS)
Phone: (909) 623-1564

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 47971 California

Profile Details

NPI number 1104023647
LBN Legal business name Anthony D. Nguyen, Dds, Inc
DBA Doing business as Pomona Valley Dental Practice
Authorized official Nguyen, Anthony Dung Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Nov 13th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104023647 NPPES
California MEDICAID B4797101

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