Provider Demographics
NPI:1467677401
Name:CHRISTIAN HOAI NGUYEN DDS INC .
Entity Type:Organization
Organization Name:CHRISTIAN HOAI NGUYEN DDS INC .
Other - Org Name:ACCLAIM DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO PRESEIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:HOAI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-261-8585
Mailing Address - Street 1:750 S WINCHESTER BLVD
Mailing Address - Street 2:SUITE # D
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2927
Mailing Address - Country:US
Mailing Address - Phone:408-261-8585
Mailing Address - Fax:408-261-8585
Practice Address - Street 1:750 S WINCHESTER BLVD
Practice Address - Street 2:SUITE # D
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2927
Practice Address - Country:US
Practice Address - Phone:408-261-8585
Practice Address - Fax:408-261-8585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47649261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental