Individual
THIEN LAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 E THOMAS RD, SUITE 204, PHOENIX, AZ 85016-7646
(602) 253-6600
Mailing address
PO BOX 226196, MIAMI, FL 33222-6196
(480) 312-9959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D5946
AZ
1223P0221X
Pediatric Dentistry
Primary
58223
CA
Other
Enumeration date
01/08/2007
Last updated
06/14/2011
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