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Organization
KIM CHI NGUYEN DDS INC
Active
Organization
KIM CHI NGUYEN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHI KIM NGUYEN (OWNER)
(408) 223-8656
Entity
Organization
Contact information
Practice address
2593 S KING RD STE 14, SAN JOSE, CA 95122-1880
(408) 223-7590
(408) 223-8683
Mailing address
2593 S KING RD STE 14, SAN JOSE, CA 95122-1880
(408) 223-8656
(408) 223-8683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D41657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D41657
—
CA
Enumeration date
02/21/2014
Last updated
02/21/2014
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