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Individual

DR. HUNG T NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MSD

Contact information

Practice address
1142 JACKLIN RD, MILPITAS, CA 95035-3700
(408) 945-0772
Mailing address
1142 JACKLIN RD, MILPITAS, CA 95035-3700
(408) 945-0772

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41292
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41292
CA DENTAL LICENSE NUMBER
CA
Enumeration date
03/23/2007
Last updated
07/08/2007
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