Individual
KAYLAN NGUYEN HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1353 EDGEWATER ST NW, SALEM, OR 97304-4050
(503) 378-0466
Mailing address
1974 LINWOOD ST NW APT 1034, SALEM, OR 97304-2397
(808) 258-3282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12388
OR
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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