| Peter D.nguyen, Dds, Professional Dental Corp | |
|
88 Tully Rd Ste 112 San Jose CA 95111-1923 | |
| (408) 888-1787 | |
| Not Available |
| Full Name | Peter D.nguyen, Dds, Professional Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 88 Tully Rd Ste 112, San Jose, California |
| Authorized Official Name and Position | Peter Dinh Nguyen (PRESIDENT) |
| Authorized Official Contact | 4088881787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter D.nguyen, Dds, Professional Dental Corp 3415 Ambum Ave San Jose CA 95148-2802 Ph: (408) 888-1787 | Peter D.nguyen, Dds, Professional Dental Corp 88 Tully Rd Ste 112 San Jose CA 95111-1923 Ph: (408) 888-1787 |
| NPI Number | 1881017812 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881017812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58300 (California) | Primary |
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