Individual
THAO NGUYEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
12751 SW 2ND ST, BEAVERTON, OR 97005-2708
(503) 644-3312
(503) 644-1713
Mailing address
12751 SW 2ND ST, BEAVERTON, OR 97005-2708
(503) 644-3312
(503) 644-1713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7199
OR
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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