Provider Demographics
NPI:1699799890
Name:NGUYEN, ROSETTE DINH (DDS, MPH)
Entity type:Individual
Prefix:DR
First Name:ROSETTE
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18988 COX AVE STE D
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4154
Mailing Address - Country:US
Mailing Address - Phone:408-252-5700
Mailing Address - Fax:408-252-5702
Practice Address - Street 1:18988 COX AVE
Practice Address - Street 2:STE D
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4154
Practice Address - Country:US
Practice Address - Phone:408-252-5700
Practice Address - Fax:408-252-5702
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA477681223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics