Individual
HENRY VUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3571 N 1ST ST STE 203, SAN JOSE, CA 95134-1803
(408) 424-2200
Mailing address
3033 N STANLEY AVE, FRESNO, CA 93737-9284
(408) 628-2159
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22597
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22597
—
CA
Enumeration date
01/02/2018
Last updated
01/02/2018
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