Nguyen, Khiet Van
Nguyen, Khiet Van is an individual health care provider with primary practice located at 10051 Boisa Ave Suite A1, Westminster CA 92683. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nguyen, Khiet Van can be contacted via phone (714) 839-6631.Contact Information
Primary practice address
10051 Boisa Ave Suite A1
Westminster CA 92683
Phone: (714) 839-6631
Fax: (714) 839-2475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 42381 | California |
Profile Details
| NPI number | 1467580092 |
|---|---|
| LBN Legal business name | Nguyen, Khiet Van |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467580092 | NPPES |
| California | MEDICAID | 42381 |
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