Marilyn Maia Nguyen Valid NPI
Individual provider · Dentist · Fontana, CA
- NPI
- 1588022065
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 101758 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-01-29
- Last updated
- 2020-06-16
Practice location
16475 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1259
(909) 357-0869