Individual
MRS. QUYNH DIEM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12845 SE 93RD AVE, CLACKAMAS, OR 97015
(503) 794-1900
(503) 794-2778
Mailing address
12845 SE 93RD AVE, CLACKAMAS, OR 97015
(503) 794-1900
(503) 794-2778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7195
OR
Other
Enumeration date
07/12/2005
Last updated
12/18/2014
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