Provider Demographics
NPI:1679789259
Name:NGUYEN, THUY-ANH (DDS)
Entity type:Individual
Prefix:DR
First Name:THUY-ANH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20514 SARATOGA-LOS GATOS RD
Mailing Address - Street 2:#B
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5911
Mailing Address - Country:US
Mailing Address - Phone:408-867-8648
Mailing Address - Fax:408-867-8649
Practice Address - Street 1:20514 SARATOGA LOS GATOS RD
Practice Address - Street 2:STE B
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5911
Practice Address - Country:US
Practice Address - Phone:408-867-8648
Practice Address - Fax:408-867-8649
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA446191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice