Individual
DR. LONG QUAN THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
Mailing address
4103 LAURA LN, YAKIMA, WA 98908-3942
(714) 657-2045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60787660
WA
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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