# THI T. NGUYEN D.M.D., PLLC

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

## Provider details

- **NPI number:** 1386065837
- **Authorized official:** DR. THI T NGUYEN D.M.D. (OWNER)
- **Authorized official phone:** (253) 531-3414

## Contact information

- **Practice address:** 158 138TH ST S, TACOMA, WA 98444-4720
- **Practice address phone:** (253) 531-3414
- **Mailing address:** 158 138TH ST S, TACOMA, WA 98444-4720
- **Mailing address phone:** (253) 531-3414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9939 | WA | Yes |

## Other

- **Enumeration date:** 12/31/2013
- **Last updated:** 12/31/2013
