Dental Board of California
Licensing details for: 2329
Name: NORTH SILICON VALLEY DENTAL
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
OFFICE OF HAO NGUYEN, DDS
113 NORTH MILPITAS BLVD
MILPITAS CA 95035
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, PHUNG KIM
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
