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Organization
KIET NGUYEN DMD DENTAL PROFESSIONAL CORPORATION
Active
Organization
KIET NGUYEN DMD DENTAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIET NGUYEN DMD (PRESIDENT)
(408) 223-6336
Entity
Organization
Contact information
Practice address
2114 SENTER RD STE 14, SAN JOSE, CA 95112-2608
(408) 223-6336
(408) 352-5274
Mailing address
2114 SENTER RD STE 14, SAN JOSE, CA 95112-2608
(408) 223-6336
(408) 352-5274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508916487
DENTI-CAL
CA
Enumeration date
10/24/2014
Last updated
02/17/2022
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