| Kim Chi Nguyen Dds Inc | |
|
2593 South King Road Suite 14 San Jose CA 95122 | |
| (408) 223-8656 | |
| (408) 223-8683 |
| Full Name | Kim Chi Nguyen Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2593 South King Road, San Jose, California |
| Authorized Official Name and Position | Kim Chi Nguyen (DENTIST) |
| Authorized Official Contact | 4082238656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Chi Nguyen Dds Inc 2593 South King Road Suite 14 San Jose CA 95122 Ph: (408) 223-8656 | Kim Chi Nguyen Dds Inc 2593 South King Road Suite 14 San Jose CA 95122 Ph: (408) 223-8656 |
| NPI Number | 1609063338 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 09/26/2007 |
| Medicare PECOS PAC ID | 4587982855 |
|---|---|
| Medicare Enrollment ID | O20150416001802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609063338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41657 (California) | Primary |
| Provider Name | Kim Chi Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639180490 PECOS PAC ID: 4486972767 Enrollment ID: I20150416002041 |
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