Individual
KEVIN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
753 N MCQUEEN RD, STE 102-103, GILBERT, AZ 85233
(972) 361-0700
Mailing address
20000 N 57TH AVE RM Q209, GLENDALE, AZ 85308-7253
(310) 634-2646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
38460
TX
122300000X
Dentist
Primary
D011450
AZ
Other
Enumeration date
06/16/2022
Last updated
08/17/2022
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