Kietnguyen Dmd Corp is a Dental Clinic in Anaheim, California. It is located at 9864 Katella Ave, Anaheim, CA and its contact number is 714-636-1112. The authorized person for Kietnguyen Dmd Corp is Kiet Tuan Nguyen
who is Dmd President of the clinic and their contact number is 714-636-1112. The primary license number for Kietnguyen Dmd Corp is 49169 (Dentist) in California.
Kietnguyen Dmd Corp Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Kietnguyen Dmd Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kietnguyen Dmd Corp |
| Specialization: | Dentistry |
| Clinic Address: | 9864 Katella Ave, Anaheim,
California, 92804-6418 |
| Phone: | 714-636-1112 |
| Fax: | 714-636-1674 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Kiet Tuan Nguyen |
| Position: | Dmd President |
| Contact Number: | 714-636-1112 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kietnguyen Dmd Corp clinic are as mentioned below.
| NPI Number: | 1821196312 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kietnguyen Dmd Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 49169 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B4916901 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kietnguyen Dmd Corp
9864 Katella Ave,
Anaheim, California |
| Zip: | 92804-6418 |
| Phone Number: | 714-636-1112 |
| Fax Number: | 714-636-1674 |
Patients can reach Kietnguyen Dmd Corp at
9864 Katella Ave, Anaheim, California or can
call to book an appointment on 714-636-1112.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.