Individual
TANIA DUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8910 NORTH 43RD AVE, 104, GLENDALE, AZ 85302
(623) 939-5131
(623) 939-5361
Mailing address
7600 NORTH 15TH STREET, 170, PHOENIX, AZ 85020
(602) 870-1223
(602) 997-4951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6798
AZ
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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