Individual
DUC HUU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 WATERLOO RD, STOCKTON, CA 95205-4256
(209) 636-5555
Mailing address
4100 BABSON DR, ELK GROVE, CA 95758-4586
(916) 896-4259
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH37010
CA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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