# SOFT DENTAL

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

## Provider details

- **NPI number:** 1518139203
- **Authorized official:** DR. TUYEN V NGUYEN DDS (DENTIST)
- **Authorized official phone:** (320) 358-4733

## Contact information

- **Practice address:** 350 ELIOT AVE, RUSH CITY, MN 55069
- **Practice address phone:** (320) 358-4733
- **Practice address fax:** (320) 358-1073
- **Mailing address:** PO BOX 643, RUSH CITY, MN 55069-0643
- **Mailing address phone:** (320) 358-4733
- **Mailing address fax:** (320) 358-1073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11658 | MN | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/02/2008