Individual
DR. LILLIAN PHAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
9900 SW GREENBURG RD STE 230, TIGARD, OR 97223-5473
(503) 620-1117
Mailing address
203 OSWEGO SMT, LAKE OSWEGO, OR 97035-1075
(503) 740-5709
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
D11284
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
10/23/2023
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