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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