Organization
BEAVERTON DENTAL ARTS LLC
Active
Other names
Thao D Nguyen, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAO D NGUYEN DMD (MEMBER)
(503) 644-3312
Entity
Organization
Contact information
Practice address
12751 SW 2ND ST, BEAVERTON, OR 97005-2708
(503) 644-3312
(503) 644-1713
Mailing address
12751 SW 2ND ST, BEAVERTON, OR 97005-2708
(503) 644-3312
(503) 644-1713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7199
OR
Other
Enumeration date
08/31/2005
Last updated
08/22/2020
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