Provider Demographics
NPI:1710420005
Name:NGUYEN AND MULNICK PLLC
Entity Type:Organization
Organization Name:NGUYEN AND MULNICK PLLC
Other - Org Name:GENTLE FAMILY DENTISITRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-556-3130
Mailing Address - Street 1:304 CAPCOM AVE
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-6598
Mailing Address - Country:US
Mailing Address - Phone:919-556-3130
Mailing Address - Fax:919-556-6180
Practice Address - Street 1:304 CAPCOM AVE
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6598
Practice Address - Country:US
Practice Address - Phone:919-556-3130
Practice Address - Fax:919-556-6180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC70741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty