Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 47975 | CA |
NPI | 1003948241 |
---|---|
Provider Name | Dr. John Huy Nguyen |
First Address | Santa Barbara, CA 93111 |
Second Address | Santa Barbara, CA 93111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 10/04/2013 |