Individual
DR. PETER PHUOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7435 W LOWER BUCKEYE RD, PHOENIX, AZ 85043-7636
(623) 907-9334
Mailing address
2220 W APACHE RAIN RD, PHOENIX, AZ 85085-5086
(623) 907-9334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5995
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841289188
—
AZ
Enumeration date
10/19/2005
Last updated
04/09/2013
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