Individual
TINA A NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13040 RIVERDALE DR NW STE 600, COON RAPIDS, MN 55448-8419
(763) 323-3042
Mailing address
8024 PLEASANT VIEW DR NE, SPRING LAKE PARK, MN 55432-2113
(763) 742-6537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13919
MN
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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