Jacqueline Nguyen

NPI #1174153621 in Alamo, California

Provider Information

NPI Number: 1174153621
Entity Type: Individual
Name: Jacqueline Nguyen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 2243 GRANITE DR
City: Alamo
State: California
ZIP Code: 94507-1604
Phone: (323) 532-3714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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