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1578917803
THERESA NGUYEN
INDIO, CA
NPI
1578917803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS100716)
Enumeration Date
2016-04-23
Last Update Date
2018-02-08
Business Address
THERESA NGUYEN
44100 JEFFERSON ST STE D404
INDIO, CA 92201-2714
Phone number: 760-772-0214
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Mailing Address
THERESA NGUYEN
13027 ACACIA AVE
MORENO VALLEY, CA 92553-6901
Phone number:
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