Provider Demographics
NPI:1891885331
Name:NGUYEN, HUNG H (DDS)
Entity Type:Individual
Prefix:
First Name:HUNG
Middle Name:H
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 1:245 W EL NORTE PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2528
Mailing Address - Country:US
Mailing Address - Phone:760-740-0409
Mailing Address - Fax:760-740-0412
Practice Address - Street 1:245 W EL NORTE PKWY STE D
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2528
Practice Address - Country:US
Practice Address - Phone:760-740-0409
Practice Address - Fax:760-740-0412
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA449671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice