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Individual
DR. KEVIN T NGUYEN
Active
Individual
DR. KEVIN T NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61178185
WA
1223G0001X
General Practice Dentistry
Primary
42298
TX
1223G0001X
General Practice Dentistry
Primary
D12013
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WDL7PPTD663B
DRIVER LICENSE
WA
Enumeration date
08/30/2021
Last updated
06/11/2026
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