# NGUYEN DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053659508
- **Authorized official:** KIMBERLY NGUYEN DMD (DENTIST)
- **Authorized official phone:** (316) 612-7777

## Contact information

- **Practice address:** 9415 E HARRY ST STE 606, WICHITA, KS 67207-5082
- **Practice address phone:** (316) 612-7777
- **Practice address fax:** (316) 612-7788
- **Mailing address:** 9415 E HARRY ST STE 606, WICHITA, KS 67207-5082
- **Mailing address phone:** (316) 612-7777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7142 | KS | Yes |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 01/17/2013