# NAKAMINE NGUYEN PLLC

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

## Provider details

- **NPI number:** 1215440045
- **Authorized official:** SHANNON NAKAMINE (PRESIDENT)
- **Authorized official phone:** (310) 749-2389

## Contact information

- **Practice address:** 5983 BANDERA RD, SAN ANTONIO, TX 78238-1822
- **Practice address phone:** (210) 681-4867
- **Mailing address:** 5721 TIMBERGATE DR APT 7303, CORPUS CHRISTI, TX 78414-2167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2017
- **Last updated:** 11/15/2017