Individual
KHA VU NGUYEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4311 NE SUNSET BLVD, RENTON, WA 98059-4011
(425) 235-7900
Mailing address
17202 AURORA AVE N APT 525, SHORELINE, WA 98133-5359
(253) 282-3990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61179107
WA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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