Provider Demographics
NPI:1568833622
Name:NGUYEN, MY HANG (DDS)
Entity Type:Individual
Prefix:
First Name:MY HANG
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 1:80 W EL CAMINO REAL
Mailing Address - Street 2:SUITE G
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2672
Mailing Address - Country:US
Mailing Address - Phone:650-426-0777
Mailing Address - Fax:650-426-0755
Practice Address - Street 1:80 W EL CAMINO REAL
Practice Address - Street 2:SUITE G
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2672
Practice Address - Country:US
Practice Address - Phone:650-426-0777
Practice Address - Fax:650-426-0755
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA430481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice