Healthcare Provider Details

I. General information

NPI: 1851004691
Provider Name (Legal Business Name): SNGUYEN & LNGUYEN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2022
Last Update Date: 12/26/2022
Certification Date: 12/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 39TH AVE SW STE A
PUYALLUP WA
98373-3692
US

IV. Provider business mailing address

14912 HIGHWAY 99
LYNNWOOD WA
98087-2316
US

V. Phone/Fax

Practice location:
  • Phone: 253-446-6147
  • Fax: 253-446-6276
Mailing address:
  • Phone: 425-260-1536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SON C NGUYEN
Title or Position: DENTIST
Credential: DDS
Phone: 425-260-1536