Individual
JIMMY-TUNG THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
856 N HILLVIEW DR, MILPITAS, CA 95035-4544
(408) 945-8646
Mailing address
856 N HILLVIEW DR, MILPITAS, CA 95035-4544
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104694
CA
Other
Enumeration date
02/24/2017
Last updated
05/21/2024
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