Alan Si Thong Nguyen, DMD
Dentist, General Practice in Peoria, AZ. Individual provider (NPI-1).
NPI number1194451963
StatusActive
Last updated in NPPESNov 22, 2022
Details
- NPI
- 1194451963
- Entity type
- Individual (NPI-1)
- Name
- Alan Si Thong Nguyen
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2022
- Certification date
- Nov 22, 2022
- Last updated
- Nov 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DDS108317 | CA | Yes |
| 1223G0001X | Dentist, General Practice | D011531 | AZ |
Practice location
8085 W Bell Rd Ste 103Peoria, AZ 85382-3825
Phone 623-878-5400
Mailing address
9898 Raritan AveFountain Valley, CA 92708-1047
Phone 714-548-1940
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