Provider Demographics
NPI:1023387263
Name:NGUYEN, DENNIS SON (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:SON
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 CALVINE RD
Mailing Address - Street 2:SUITE C121
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-9313
Mailing Address - Country:US
Mailing Address - Phone:916-494-2042
Mailing Address - Fax:
Practice Address - Street 1:8250 CALVINE RD
Practice Address - Street 2:SUITE C121
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-9313
Practice Address - Country:US
Practice Address - Phone:916-494-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24184111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology