Provider Demographics
NPI:1235369786
Name:NGUYEN, DIEM-TRINH MARIA (DIEM-TRINH NGUYEN)
Entity type:Individual
Prefix:DR
First Name:DIEM-TRINH
Middle Name:MARIA
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DIEM-TRINH NGUYEN
Other - Prefix:DR
Other - First Name:DIEM-TRINH
Other - Middle Name:MARIA
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:532 E CHAPMAN
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:90680
Mailing Address - Country:US
Mailing Address - Phone:714-997-9030
Mailing Address - Fax:
Practice Address - Street 1:532 E CHAPMAN
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:90680
Practice Address - Country:US
Practice Address - Phone:714-997-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA583741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice