Individual
DR. DANIEL PHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13180 SE 172ND AVE STE 146, HAPPY VALLEY, OR 97086-9654
(503) 353-6568
Mailing address
13376 SE SCENIC RIDGE DR, CLACKAMAS, OR 97015-7534
(503) 454-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12018
OR
Other
Enumeration date
04/01/2024
Last updated
07/01/2024
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