Provider Demographics
NPI:1710995790
Name:NGUYEN, CHRISTIAN HOAI (DDS)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:HOAI
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 S WINCHESTER BVD
Mailing Address - Street 2:# D
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:408-261-8585
Mailing Address - Fax:408-261-8585
Practice Address - Street 1:750 S WINCHESTER BVD
Practice Address - Street 2:# D
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-261-8585
Practice Address - Fax:408-261-8585
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47649122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist