Individual
DINH KHOA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 N DUTTON AVE, SANTA ROSA, CA 95401-4606
(707) 303-3395
(707) 303-3181
Mailing address
1110 N DUTTON AVE, SANTA ROSA, CA 95401-4606
(707) 303-3395
(707) 303-3181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
122300000X
Dentist
Primary
112256
CA
Other
Enumeration date
04/22/2021
Last updated
12/10/2025
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