Individual
NGUYEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Mailing address
25 SOMMERLYN RD APT 206, COLORADO SPRINGS, CO 80906-3441
(425) 260-8951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60723724
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2016
Last updated
04/03/2020
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