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Organization

LOAN NGUYEN, DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOAN T NGUYEN DDS (OWNER)
(360) 791-7019
Entity
Organization

Contact information

Practice address
5101 25TH AVE NE, SUITE 6, SEATTLE, WA 98105-3225
(206) 466-5810
(206) 466-5429
Mailing address
5101 25TH AVE NE, SUITE 6, SEATTLE, WA 98105-3225
(206) 466-5810
(206) 466-5429

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60216703
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2021684
WA
Enumeration date
05/30/2014
Last updated
05/30/2014
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