NPI 1003005349

T. Nguyen, DDS, Corporation

Organisation Preferred Provider Organization Hercules, CA

Practice location

Address: 500 Alfred Nobel Dr 285, Hercules, CA 94547-1838
Phone: (510) 741-7041
Fax: (510) 803-5200
Mailing address: PO Box 1695 PO Box1695, West Sacramento, CA 95691-6695

Authorised official

Name: Thang Nguyen
Title: President
Phone: (510) 741-7041

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 46659 (CA)

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1003005349
Entity type: Organization
NPI issued: 23 Oct 2007
Record last updated: 5 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.