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Organization

DAT T NGUYEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAT T NGUYEN MD (OWNER)
(925) 460-3205
Entity
Organization

Contact information

Practice address
5565 W LAS POSITAS BLVD STE 360, PLEASANTON, CA 94588-5809
(925) 460-3205
(925) 460-3795
Mailing address
5565 W LAS POSITAS BLVD STE 360, PLEASANTON, CA 94588-5809
(925) 460-3205
(925) 460-3795

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G75447
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
G075447
CA

Other

Enumeration date
05/03/2007
Last updated
10/04/2007
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