Individual
DR. ALVIN THIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 N FRUITLAND ST STE E, KENNEWICK, WA 99336-3814
(509) 491-3388
Mailing address
100 N FRUITLAND ST STE E, KENNEWICK, WA 99336-3814
(509) 491-3388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007283
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129616
WA STATE DEPT L&I NUMBER
WA
05
—
5031315
—
WA
01
—
8923242
WASHINGTON STATE DLI CV#
WA
Enumeration date
11/01/2006
Last updated
03/06/2023
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