Organization
CHIC DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULINE PHUONG NGUYEN DDS (OWNER)
(408) 362-9622
Entity
Organization
Contact information
Practice address
5278 MONTEREY HWY, SUITE 10, SAN JOSE, CA 95111-4268
(408) 362-9622
(408) 362-9633
Mailing address
5278 MONTEREY HWY, SUITE 10, SAN JOSE, CA 95111-4268
(408) 362-9622
(408) 362-9633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B47143-01
HEALTHY FAMILY
CA
01
—
G92526-01
DENTI-CAL
CA
Enumeration date
05/24/2007
Last updated
07/08/2011
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