Organization
AVUE COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT M NGUYEN D.D.S (OWNER)
(832) 816-8533
Entity
Organization
Contact information
Practice address
6509 W. PARK BLVD, 410, PLANO, TX 75093
(972) 403-7640
(972) 403-7642
Mailing address
6509 W. PARK BLVD, 410, PLANO, TX 75093
(972) 403-7640
(972) 403-7642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467574319
—
TX
Enumeration date
08/28/2012
Last updated
08/28/2012
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