Organization
AVONDALE FAMILY DENTAL CARE PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAM-RENE NGUYEN DDS (PRESIDENT)
(623) 932-3344
Entity
Organization
Contact information
Practice address
320 E WESTERN AVE, AVONDALE, AZ 85323-2348
(623) 932-3344
(623) 932-0594
Mailing address
320 E WESTERN AVE, AVONDALE, AZ 85323-2348
(623) 932-3344
(623) 932-0594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5074
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480476
—
AZ
Enumeration date
03/26/2007
Last updated
08/22/2020
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