Provider Demographics
NPI:1851430136
Name:NGUYEN, DZON MANH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DZON
Middle Name:MANH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 NW 85TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-4298
Mailing Address - Country:US
Mailing Address - Phone:206-789-0111
Mailing Address - Fax:206-789-8961
Practice Address - Street 1:1421 NW 85TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-4298
Practice Address - Country:US
Practice Address - Phone:206-789-0111
Practice Address - Fax:206-789-8961
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000076751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice