Provider Demographics
NPI:1841805454
Name:NGUYEN, TRI HUYNH MINH (DMD)
Entity Type:Individual
Prefix:
First Name:TRI
Middle Name:HUYNH MINH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7826 ENCHANTED CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-7508
Mailing Address - Country:US
Mailing Address - Phone:714-726-2493
Mailing Address - Fax:
Practice Address - Street 1:7826 ENCHANTED CLIFF DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-7508
Practice Address - Country:US
Practice Address - Phone:714-726-2493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11703587-9922171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider