Basic Information
| Provider Information | |||||||||
| NPI: | 1417004029 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NGUYEN | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | HUYNH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7853 ROESBORO CIR | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958286937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9166883679 | ||||||||
| FaxNumber: | 9166384107 | ||||||||
| Practice Location | |||||||||
| Address1: | 2001 ZINFANDEL DR STE B5 | ||||||||
| Address2: | |||||||||
| City: | RANCHO CORDOVA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956704265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9166385833 | ||||||||
| FaxNumber: | 9166384107 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 50333 | CA | Y | Dental Providers | Dentist | General Practice |
No ID Information.