Individual
VICKY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3994 S BASCOM AVE # 5, SAN JOSE, CA 95124
(408) 371-1444
Mailing address
787 THE ALAMEDA UNIT 310, SAN JOSE, CA 95126-3661
(408) 250-3064
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
103162
CA
1223G0001X
General Practice Dentistry
DE60796142
WA
Other
Enumeration date
10/17/2017
Last updated
09/04/2018
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