| Thao D Nguyen, Dmd | |
|
12751 Sw 2nd St Beaverton OR 97005-2708 | |
| (503) 644-3312 | |
| (503) 644-1713 |
| Full Name | Thao D Nguyen, Dmd |
|---|---|
| Speciality | Dentist |
| Location | 12751 Sw 2nd St, Beaverton, Oregon |
| Authorized Official Name and Position | Thao D Nguyen (MEMBER) |
| Authorized Official Contact | 5036443312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thao D Nguyen, Dmd 12751 Sw 2nd St Beaverton OR 97005-2708 Ph: (503) 644-3312 | Thao D Nguyen, Dmd 12751 Sw 2nd St Beaverton OR 97005-2708 Ph: (503) 644-3312 |
| NPI Number | 1184617516 |
|---|---|
| Provider Enumeration Date | 08/31/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184617516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7199 (Oregon) | Primary |
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