Provider Demographics
NPI:1063651784
Name:HUONG T NGUYEN, DDS, INC.
Entity Type:Organization
Organization Name:HUONG T NGUYEN, DDS, INC.
Other - Org Name:ZARNI DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HUONG
Authorized Official - Middle Name:THIEN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-258-2207
Mailing Address - Street 1:135 N. JACKSON AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1917
Mailing Address - Country:US
Mailing Address - Phone:408-258-2207
Mailing Address - Fax:408-258-2207
Practice Address - Street 1:135 N. JACKSON AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1917
Practice Address - Country:US
Practice Address - Phone:408-258-2207
Practice Address - Fax:408-258-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48650261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental