Provider Demographics
NPI:1447623400
Name:NHAN NGUYEN DAO DDS INC
Entity type:Organization
Organization Name:NHAN NGUYEN DAO DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NHAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-937-8881
Mailing Address - Street 1:999 STORY RD
Mailing Address - Street 2:SUITE 9066
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-4604
Mailing Address - Country:US
Mailing Address - Phone:408-937-8881
Mailing Address - Fax:408-228-8099
Practice Address - Street 1:999 STORY RD
Practice Address - Street 2:SUITE 9066
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-4604
Practice Address - Country:US
Practice Address - Phone:408-937-8881
Practice Address - Fax:408-228-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty