Individual
ALEXANDER NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7555 E OSBORN RD STE 206, SCOTTSDALE, AZ 85251
(480) 634-4013
Mailing address
2470 W EDGEWATER WAY APT 2017, CHANDLER, AZ 85248-3010
(714) 906-0988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029634
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D009678
AZ
Other
Enumeration date
10/03/2013
Last updated
07/19/2018
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