Dr. Huy Ngoc Van, D.D.S.
Dentist, General Practice in San Jose, CA. Individual provider (NPI-1).
NPI number1104986595
StatusActive
Last updated in NPPESJan 18, 2011
Details
- NPI
- 1104986595
- Entity type
- Individual (NPI-1)
- Name
- Dr. Huy Ngoc Van
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2006
- Last updated
- Jan 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 49020 | CA | Yes |
Practice location
6023 Snell AveSan Jose, CA 95123-4127
Phone 408-229-8819
Mailing address
168 Alamo LaneTracy, CA 95377
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