Scott Nguyen, DDS, INC.
Dentist, General Practice in Newark, CA. Organization (NPI-2).
NPI number1861692097
StatusActive
Last updated in NPPESFeb 29, 2016
Details
- NPI
- 1861692097
- Entity type
- Organization (NPI-2)
- Legal business name
- Scott Nguyen, DDS, INC.
- Organization subpart
- No
- Enumeration date
- Jul 25, 2007
- Last updated
- Feb 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 40379 | CA | Yes |
Other names
- Sunnysmile Dental (Doing Business As)
Practice location
6180 Jarvis Ave.#j
Newark, CA 94560-1200
Phone 510-795-9669 · Fax 510-795-1404
Mailing address
6180 Jarvis Ave.#j
Newark, CA 94560-1200
Phone 510-795-9669 · Fax 510-795-1404
Authorized official
Scott Nguyen
President
5107959669
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