Individual
DR. DAT TIEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-4385
Mailing address
2324 SANTA RITA RD, SUITE 6, PLEASANTON, CA 94566-4152
(925) 460-3205
(925) 460-3795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G75447
CA
Other
Enumeration date
02/23/2006
Last updated
01/10/2022
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