Individual
TONY TU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9900 SW GREENBURG RD, SUITE #240, TIGARD, OR 97223-5502
(888) 468-0022
Mailing address
13215 NE SACRAMENTO ST, PORTLAND, OR 97230-3024
(503) 807-8128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10017
OR
122300000X
Dentist
DE60397210
WA
Other
Enumeration date
08/16/2013
Last updated
08/12/2014
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