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Organization
TIMOTHY NGUYEN DMD LLC
Active
Organization
TIMOTHY NGUYEN DMD LLC
Active
Other names
Parker West Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY NGUYEN DMD (OWNER)
(214) 535-5572
Entity
Organization
Contact information
Practice address
4709 W PARKER RD STE 515, PLANO, TX 75093-3382
(972) 985-0005
Mailing address
4709 W PARKER RD STE 515, PLANO, TX 75093-3382
(972) 985-0005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31342
DENTAL LICENSE
TX
Enumeration date
02/20/2018
Last updated
02/20/2018
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