Provider Demographics
NPI:1063535912
Name:NGUYEN, HONG-HANH THI (DDS)
Entity type:Individual
Prefix:
First Name:HONG-HANH
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8361 HARDESTER DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-7553
Mailing Address - Country:US
Mailing Address - Phone:916-525-2189
Mailing Address - Fax:
Practice Address - Street 1:7850 STOCKTON BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4319
Practice Address - Country:US
Practice Address - Phone:916-689-3310
Practice Address - Fax:916-689-6741
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA471411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice