Individual
JOUJOU DI-SON NGUYENPHUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1565 HOLLENBECK AVE, SUNNYVALE, CA 94087-5922
(408) 774-9198
Mailing address
3927 PINE ST APT 102, PHILADELPHIA, PA 19104-4185
(213) 545-6707
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS044536
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/09/2022
Last updated
05/21/2025
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