Organization
SOUTHERN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER P NGUYEN DMD (DENTIST)
(602) 305-8800
Entity
Organization
Contact information
Practice address
3320 W. SOUTHERN AVENUE, SUITE # 108, PHOENIX, AZ 85041
(602) 305-8800
(602) 305-8801
Mailing address
3320 W. SOUTHERN AVENUE, SUITE # 108, PHOENIX, AZ 85041
(602) 305-8800
(602) 305-8801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5995
AZ
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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