Individual
EVAN HUU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4837 N 35TH AVE, PHOENIX, AZ 85017-3011
(602) 242-5406
Mailing address
1711 E HARVARD ST, PHOENIX, AZ 85006-1804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011446
AZ
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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