Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 38105 | CA |
NPI | 1003827494 |
---|---|
Provider Name | Dinh Hiep Nguyen |
First Address | Oxnard, CA 93033 |
Second Address | Oxnard, CA 93033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |