Organization
JAMES NGUYEN DMD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SON THANH NGUYEN DMD (PRESIDENT)
(425) 774-9298
Entity
Organization
Contact information
Practice address
7935 216TH ST SW STE C, EDMONDS, WA 98026-7941
(425) 774-9298
(425) 778-5284
Mailing address
7935 216TH ST SW STE C, EDMONDS, WA 98026-7941
(425) 774-9298
(425) 778-5284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8542
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134292238
CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)
WA
Enumeration date
07/03/2016
Last updated
07/03/2016
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