Individual
THANH-TRUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9735 SW SHADY LN STE 307, TIGARD, OR 97223-5481
(503) 968-1696
Mailing address
9735 SW SHADY LN STE 307, TIGARD, OR 97223-5481
(503) 968-1696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10491
OR
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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