Organization
KY NGUYEN DDS INC
Active
Other names
iCare Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KY NGUYEN DMD (OWNER)
(408) 223-9228
Entity
Organization
Contact information
Practice address
4055 EVERGREEN VILLAGE SQ STE 240, SAN JOSE, CA 95135-1750
(408) 223-9228
Mailing address
4055 EVERGREEN VILLAGE SQ STE 240, SAN JOSE, CA 95135-1750
(408) 223-9228
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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