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1104077247
LOI D NGUYEN
MODESTO, CA
NPI
1104077247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 52900)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
-- LOI D NGUYEN DDS
2508 OAKDALE RD STE B4
MODESTO, CA 95355-9013
Phone number: 209-551-6988
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Mailing Address
-- LOI D NGUYEN DDS
1888 MATTERHORN ST
MANTECA, CA 95337-6687
Phone number: 209-551-6988
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