NPI: 1700409992 · STOCKTON, CA 95205 · Community/Retail Pharmacy · NPI assigned 05/21/2020
| Authorized Official | NGUYEN, TIN (OWNER) |
| NPI Enumeration Date | 05/21/2020 |
Other providers sharing the same authorized official: NGUYEN, TIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| TIN DUC NGUYEN DMD AND LAN THI NGOC NGUYEN DMD, PLLC | KENNEWICK | WA | $2.13M |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 27 | $440.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0064A | 27 | 16 | $440.00 |