Provider Demographics
NPI:1710203286
Name:NGUYEN, ANGELA FRANCES (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:FRANCES
Last Name:NGUYEN
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 1:1015 W 8TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-2031
Mailing Address - Country:US
Mailing Address - Phone:806-372-5200
Mailing Address - Fax:
Practice Address - Street 1:1015 W 8TH AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-2031
Practice Address - Country:US
Practice Address - Phone:806-372-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX252841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice