# DUONG NGUYEN DDS INC

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

## Provider details

- **NPI number:** 1649605148
- **Authorized official:** DUONG NGUYEN DDS (PRESIDENT)
- **Authorized official phone:** (323) 455-8326

## Contact information

- **Practice address:** 1075 S WHITE RD, \#60, SAN JOSE, CA 95127-3825
- **Practice address phone:** (408) 272-8883
- **Practice address fax:** (408) 272-2998
- **Mailing address:** 1075 S WHITE RD, \#60, SAN JOSE, CA 95127-3825
- **Mailing address phone:** (408) 272-8883
- **Mailing address fax:** (408) 272-2998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | CA58450 | CA | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/04/2013
