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Individual

TIEN-DAT N NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
212 W WINESAP RD STE 104, BOTHELL, WA 98012-9210
(425) 778-4445
Mailing address
21903 43RD CT W, MOUNTLAKE TERRACE, WA 98043-3600
(206) 250-3282

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009120
WA

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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