# ADRIENNE MY-TRAM NGUYEN, DDS - INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255845640
- **Authorized official:** ADRIENNE MY-TRAM NGUYEN DDS (PRESIDENT)
- **Authorized official phone:** (510) 763-7400

## Contact information

- **Practice address:** 475 8TH STREET, OAKLAND, CA 94607
- **Practice address phone:** (510) 763-7400
- **Practice address fax:** (844) 269-7464
- **Mailing address:** 475 8TH STREET, OAKLAND, CA 94607
- **Mailing address phone:** (510) 763-7400
- **Mailing address fax:** (844) 269-7464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 64884 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 11/22/2017