Individual
MY THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6529 INGLEWOOD AVE STE A1, STOCKTON, CA 95207-3864
(209) 473-3788
Mailing address
6529 INGLEWOOD AVE STE A1, STOCKTON, CA 95207-3864
(209) 473-3788
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS104539
CA
Other
Enumeration date
05/10/2018
Last updated
05/14/2025
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