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Organization
PETER D.NGUYEN, DDS, PROFESSIONAL DENTAL CORP
Active
Organization
PETER D.NGUYEN, DDS, PROFESSIONAL DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DINH NGUYEN D.D.S (PRESIDENT)
(408) 888-1787
Entity
Organization
Contact information
Practice address
88 TULLY RD STE 112, SAN JOSE, CA 95111-1923
(408) 888-1787
Mailing address
3415 AMBUM AVE, SAN JOSE, CA 95148-2802
(408) 888-1787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58300
CA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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