Individual
DOAN TRANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3030 CENTRE POINTE DR, SUITE #100, ROSEVILLE, MN 55113
(651) 774-7144
Mailing address
3030 CENTRE POINTE DR, SUITE #100, ROSEVILLE, MN 55113-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29856
TX
122300000X
Dentist
D11611
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510613300
—
MN
Enumeration date
01/30/2006
Last updated
10/29/2014
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