Organization
T. NGUYEN, DDS, CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANG NGUYEN DDS (PRESIDENT)
(510) 741-7041
Entity
Organization
Contact information
Practice address
500 ALFRED NOBEL DR, 285, HERCULES, CA 94547-1838
(510) 741-7041
(510) 803-5200
Mailing address
PO BOX 1695, PO BOX1695, WEST SACRAMENTO, CA 95691-6695
(510) 741-7041
(510) 803-5200
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
46659
CA
Other
Enumeration date
10/23/2007
Last updated
04/05/2012
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