Individual
DR. VINH CANH NGUYEN-PHUOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1102 NE 82ND AVE, PORTLAND, OR 97220-5701
(503) 408-8926
Mailing address
1102 NE 82ND AVE, PORTLAND, OR 97220-5701
(503) 408-8927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9315
OR
Other
Enumeration date
08/31/2009
Last updated
09/26/2010
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