# REYNA NGUYEN D.D.S P.L.L.C

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

## Provider details

- **NPI number:** 1356869218
- **Authorized official:** REYNA M NGUYEN DDS (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (409) 729-0300

## Contact information

- **Practice address:** 2770 AERO DR, STE 2, PORT ARTHUR, TX 77604
- **Practice address phone:** (409) 729-0300
- **Practice address fax:** (409) 729-0319
- **Mailing address:** 2770 AERO DR STE 2, PORT ARTHUR, TX 77640-1519
- **Mailing address phone:** (409) 729-0300
- **Mailing address fax:** (409) 729-0319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 28778 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2017
- **Last updated:** 07/21/2022