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General NPI Number Information
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NPI Number | 1467677401
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Entity Type | Organization
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Legal Business Name | CHRISTIAN HOAI NGUYEN DDS INC .
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 750 S WINCHESTER BLVD SUITE # D
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City | SAN JOSE
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State | CA
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Zip | 95128-2927
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Country | US
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Telephone | 408-261-8585
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Fax | 408-261-8585
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Provider Business Mailing Address
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Address Line | 750 S WINCHESTER BLVD SUITE # D
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City | SAN JOSE
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State | CA
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Zip | 95128-2927
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Country | US
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Telephone | 408-261-8585
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Fax | 408-261-8585
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Authorized Official
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Title or Position | CEO PRESEIDENT
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Name | DR. CHRISTIAN HOAI NGUYEN
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Credential | DDS
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Telephone | 408-261-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 47649
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License Number State | CA
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