Provider Demographics
NPI:1073030045
Name:NGUYEN, NHI THI YEN (D160780673)
Entity Type:Individual
Prefix:MS
First Name:NHI
Middle Name:THI YEN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:D160780673
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 FACTORIA BLVD SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-6128
Mailing Address - Country:US
Mailing Address - Phone:425-270-8348
Mailing Address - Fax:
Practice Address - Street 1:3626 FACTORIA BLVD SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-6128
Practice Address - Country:US
Practice Address - Phone:425-270-8348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant