| Kim Chi Nguyen Dds Inc | |
|
2593 S King Rd Ste 14 San Jose CA 95122-1880 | |
| (408) 223-7590 | |
| (408) 223-8683 |
| Full Name | Kim Chi Nguyen Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2593 S King Rd Ste 14, San Jose, California |
| Authorized Official Name and Position | Chi Kim Nguyen (OWNER) |
| Authorized Official Contact | 4082238656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Chi Nguyen Dds Inc 2593 S King Rd Ste 14 San Jose CA 95122-1880 Ph: (408) 223-8656 | Kim Chi Nguyen Dds Inc 2593 S King Rd Ste 14 San Jose CA 95122-1880 Ph: (408) 223-7590 |
| NPI Number | 1467877852 |
|---|---|
| Provider Enumeration Date | 02/21/2014 |
| Last Update Date | 02/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467877852 | NPI | - | NPPES |
| D41657 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D41657 (California) | Primary |
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