Nguyen, Tracy V.

Nguyen, Tracy V. is an sole proprietor health care provider with primary practice located at 1240 W Robinhood Dr Suite B, Stockton CA 95207-5507. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Nguyen, Tracy V. can be contacted via phone (209) 956-0880.

Contact Information

Primary practice address
1240 W Robinhood Dr Suite B Stockton CA 95207-5507
Phone: (209) 956-0880
Fax: (209) 956-0883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 49168 California

Profile Details

NPI number 1154488716
LBN Legal business name Nguyen, Tracy V.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154488716 NPPES
California Other B49168 DELTA DENTAL HEALTHY FAMI
California Other D49168 DELTA DENTAL HEALTHY FAMI
California Other 12143 DELTA DENTAL HEALTHY FAMI
California Other G92904-01 DELTA DENTAL HEALTHY FAMI

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