Provider Demographics
NPI:1083800379
Name:NGUYEN, LINH THU (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINH
Middle Name:THU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:THU
Other - Middle Name:LINH
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:110 SOUTH ABEL STREET
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035
Mailing Address - Country:US
Mailing Address - Phone:408-934-9646
Mailing Address - Fax:408-934-9648
Practice Address - Street 1:110 SOUTH ABEL STREET
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035
Practice Address - Country:US
Practice Address - Phone:408-934-9646
Practice Address - Fax:408-934-9648
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42078122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist