Organization
CAMTAM NGUYEN DDS INC
Active
Other names
Premier Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
CAMTAM TONG NGUYEN DDS (OWNER)
(408) 972-2911
Entity
Organization
Contact information
Practice address
1057 E CAPITOL EXPWY, SAN JOSE, CA 95121-2415
(408) 972-2911
(408) 972-2911
Mailing address
1057 E CAPITOL EXPWY, SAN JOSE, CA 95121-2415
(408) 972-2911
(408) 972-1881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47648
CA
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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