Provider Demographics
NPI:1407053390
Name:NGUYEN, HUONG THIEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUONG
Middle Name:THIEN
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 1:316 N HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-3339
Mailing Address - Country:US
Mailing Address - Phone:714-554-9894
Mailing Address - Fax:714-554-9658
Practice Address - Street 1:316 N HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-3339
Practice Address - Country:US
Practice Address - Phone:714-554-9894
Practice Address - Fax:714-554-9658
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA469011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice