| Loan Nguyen, Dds Pllc | |
|
5101 25th Ave Ne Suite 6 Seattle WA 98105-3225 | |
| (206) 466-5810 | |
| (206) 466-5429 |
| Full Name | Loan Nguyen, Dds Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5101 25th Ave Ne, Seattle, Washington |
| Authorized Official Name and Position | Loan T Nguyen (OWNER) |
| Authorized Official Contact | 3607917019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loan Nguyen, Dds Pllc 5101 25th Ave Ne Suite 6 Seattle WA 98105-3225 Ph: (206) 466-5810 | Loan Nguyen, Dds Pllc 5101 25th Ave Ne Suite 6 Seattle WA 98105-3225 Ph: (206) 466-5810 |
| NPI Number | 1821400433 |
|---|---|
| Provider Enumeration Date | 05/30/2014 |
| Last Update Date | 05/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821400433 | NPI | - | NPPES |
| 2021684 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60216703 (Washington) | Primary |
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