Nguyen, Pauline Phuong
Nguyen, Pauline Phuong is an sole proprietor health care provider with primary practice located at 5278 Monterey Hwy Suite 10, San Jose CA 95111-4268. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Nguyen, Pauline Phuong can be contacted via phone (408) 362-9622.Contact Information
Primary practice address
5278 Monterey Hwy Suite 10
San Jose CA 95111-4268
Phone: (408) 362-9622
Fax: (408) 362-9633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 47143 | California |
Profile Details
| NPI number | 1053319707 |
|---|---|
| LBN Legal business name | Nguyen, Pauline Phuong |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 13th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053319707 | NPPES |
| California | Other | B47143-01 | DELTA DENTAL STATE GOV PR |
| California | Other | G92526-01 | DELTA DENTAL STATE GOV PR |
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