Dental Board of California
Licensing details for: 7628
Name: PHUNG K NGUYEN, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
100 O'CONNOR DR, STE 5
SAN JOSE CA 95128
SANTA CLARA county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: NGUYEN, PHUNG KIM
License/Registration Type: Dentist License
License Number: 44749 Primary Status: Current - Active
Address :
2114 SENTER RD #25
SAN JOSE CA 95112
SANTA CLARA COUNTY
