Individual
MR. CUONG DINH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
1200 SO JACKSON STREET, SUITE 23, SEATTLE, WA 98144-2042
(206) 325-5944
(206) 325-5944
Mailing address
1200 SO JACKSON STREET, SUITE 23, SEATTLE, WA 98144-2042
(206) 325-5944
(206) 325-5944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5003546
—
WA
Enumeration date
02/15/2007
Last updated
07/08/2007
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