Provider Demographics
NPI:1699198176
Name:DANIEL HUY NGUYEN, DDS, INC.
Entity Type:Organization
Organization Name:DANIEL HUY NGUYEN, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:HUY
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-288-9126
Mailing Address - Street 1:8905 GARVEY AVE
Mailing Address - Street 2:SUITE A5
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3368
Mailing Address - Country:US
Mailing Address - Phone:626-288-9126
Mailing Address - Fax:626-288-9172
Practice Address - Street 1:8905 GARVEY AVE
Practice Address - Street 2:SUITE A5
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3368
Practice Address - Country:US
Practice Address - Phone:626-288-9126
Practice Address - Fax:626-288-9172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD51114122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty