# REBEKAH NGUYEN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Smile Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780259556
- **Authorized official:** DR. REBEKAH HANG NGUYEN DDS (DENTIST/OWNER)
- **Authorized official phone:** (206) 590-1369

## Contact information

- **Practice address:** 8541 15TH AVE NW \# 100, SEATTLE, WA 98117-3606
- **Practice address phone:** (206) 590-1369
- **Mailing address:** 8541 15TH AVE NW STE 100, SEATTLE, WA 98117-3625
- **Mailing address phone:** (206) 590-1369
- **Mailing address fax:** (206) 316-1405

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2021
- **Last updated:** 06/26/2023
