Provider Demographics
NPI:1194920173
Name:NGUYEN, CHRISTOPHER DAI (DDS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DAI
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7611 WESTMINSTER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3909
Mailing Address - Country:US
Mailing Address - Phone:714-235-5542
Mailing Address - Fax:714-379-2116
Practice Address - Street 1:7611 WESTMINSTER BLVD STE B
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3909
Practice Address - Country:US
Practice Address - Phone:714-379-2144
Practice Address - Fax:714-379-2116
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN173041223G0001X
CA532541223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice