# TIN DUC NGUYEN DMD AND LAN THI NGOC NGUYEN DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forever Smiles Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730668310
- **Authorized official:** DR. TIN NGUYEN DMD (GENERAL DENTIST)
- **Authorized official phone:** (509) 591-4267

## Contact information

- **Practice address:** 4528 W 26TH AVE STE 110, KENNEWICK, WA 99338-1863
- **Practice address phone:** (509) 591-4267
- **Mailing address:** 4528 W 26TH AVE STE 110, KENNEWICK, WA 99338-1863
- **Mailing address phone:** (509) 591-4267
- **Mailing address fax:** (509) 628-5204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60512243 | WA | Yes |

## Other

- **Enumeration date:** 08/14/2018
- **Last updated:** 07/01/2020