Provider Demographics
NPI:1225496946
Name:NGUYEN, HOAIHUONG (DDS)
Entity Type:Individual
Prefix:
First Name:HOAIHUONG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 E ARQUES AVE # 171
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4531
Mailing Address - Country:US
Mailing Address - Phone:408-400-3133
Mailing Address - Fax:408-400-3134
Practice Address - Street 1:927 E ARQUES AVE # 171
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4531
Practice Address - Country:US
Practice Address - Phone:408-400-3133
Practice Address - Fax:408-400-3134
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA101691122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program