Most Relevant Information
Provider Data
| NPI Number: | 1003024415 |
| Provider Name: | HUONG THI MAI NGUYEN D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 44519 |
Most Important Dates
| Enumeration Date: | 05/18/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1657 MCKEE RD STE 40
SAN JOSE
CA
951161209
Practice Location Phone/Fax
| Phone: | 4089379229 |
| Fax: | 4089376169 |
Provider Mailing Location
1657 MCKEE RD STE 40
SAN JOSE
CA
951161209
Provider Mailing Phone/Fax
| Phone: | 4089379229 |
| Fax: | 4089376169 |