Individual
DR. BAOANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4017 N 75TH AVE, PHOENIX, AZ 85033-3728
(623) 907-9334
(623) 474-2876
Mailing address
4017 N 75TH AVE, PHOENIX, AZ 85033-3728
(623) 907-9334
(623) 474-2876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5994
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346274917
—
AZ
Enumeration date
07/10/2006
Last updated
03/24/2023
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