Organization
DRS. AUDREY T & THAI V. NGUYEN, PLLC
Active
Other names
EDC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY T NGUYEN DDS (VP)
(253) 272-6242
Entity
Organization
Contact information
Practice address
3415 AUBURN WAY S, STE #1, AUBURN, WA 98002
(253) 272-6242
(253) 272-6242
Mailing address
5717 PINNACLE CT NE, TACOMA, WA 98422
(253) 272-6242
(253) 272-6243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TBA
—
WA
Enumeration date
06/30/2010
Last updated
06/30/2010
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