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NPI Code Detail

MEDICARE: DR. NAM DUC-HAI NGUYEN DDS

MEDICARE:  DR. NAM DUC-HAI NGUYEN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDE60882843WA

General Provider Information

NPI Number : 1205316361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAM DUC-HAI NGUYEN DDS
Provider Business Mailing Address
First Line : 8933 MARKET PL STE A
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-4909
Country : US
Telephone Number : 425-334-5085
Fax Number :
Provider Business Practice Location Address
First Line : 8933 MARKET PL STE A
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-4909
Country : US
Telephone Number : 425-334-5085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 09/09/2022

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Directions to “ DR. NAM DUC-HAI NGUYEN DDS” Practice Location

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