| Kiet Nguyen Dmd Dental Professional Corporation | |
|
2114 Senter Rd Ste 14 San Jose CA 95112-2608 | |
| (408) 223-6336 | |
| (408) 352-5274 |
| Full Name | Kiet Nguyen Dmd Dental Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2114 Senter Rd Ste 14, San Jose, California |
| Authorized Official Name and Position | Kiet Nguyen (PRESIDENT) |
| Authorized Official Contact | 4082236336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiet Nguyen Dmd Dental Professional Corporation 2114 Senter Rd Ste 14 San Jose CA 95112-2608 Ph: (408) 223-6336 | Kiet Nguyen Dmd Dental Professional Corporation 2114 Senter Rd Ste 14 San Jose CA 95112-2608 Ph: (408) 223-6336 |
| NPI Number | 1710382361 |
|---|---|
| Provider Enumeration Date | 10/24/2014 |
| Last Update Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710382361 | NPI | - | NPPES |
| 1508916487 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43052 (California) | Primary |
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