Nguyen, Nick Khanh

Nguyen, Nick Khanh is an sole proprietor health care provider with primary practice located at 22912 Pacific Park Dr Ste A , Aliso Viejo CA 92656-5328. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nguyen, Nick Khanh can be contacted via phone (949) 215-4400.

Contact Information

Primary practice address
22912 Pacific Park Dr Ste A Aliso Viejo CA 92656-5328
Fax: (949) 215-4402
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 48838 California

Profile Details

NPI number 1649340274
LBN Legal business name Nguyen, Nick Khanh
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649340274 NPPES
California Other 48838 DENTAL LICENSE NUMBER

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