Individual
TIEN HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17420 SOUTHCENTER PKWY, TUKWILA, WA 98188-3701
(253) 395-5555
Mailing address
418 ORCAS PL NE, RENTON, WA 98059-6316
(228) 437-5263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4389-23
MS
122300000X
Dentist
6001294-15
WI
122300000X
Dentist
Primary
61305709
WA
122300000X
Dentist
D11812
OR
Other
Enumeration date
04/27/2022
Last updated
07/12/2023
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