Provider Demographics
NPI:1093170987
Name:CLOSMANN, HUONG NGUYEN (DDS)
Entity Type:Individual
Prefix:
First Name:HUONG
Middle Name:NGUYEN
Last Name:CLOSMANN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 S POTOMAC WAY STE A
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2491
Mailing Address - Country:US
Mailing Address - Phone:303-523-7808
Mailing Address - Fax:
Practice Address - Street 1:390 S POTOMAC WAY STE A
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2491
Practice Address - Country:US
Practice Address - Phone:720-428-2908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN2025981223G0001X
CODEN00202598122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice