Individual
CALVIN THE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
829 RIVER PARK DR, SAN JOSE, CA 95111-1554
(310) 526-1994
Mailing address
829 RIVER PARK DR, SAN JOSE, CA 95111-1554
(310) 526-1994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58226
CA
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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