Provider Demographics
NPI:1891855672
Name:NGUYEN, CHERIE ELYSE
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:ELYSE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7620 N MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7512
Mailing Address - Country:US
Mailing Address - Phone:214-414-3740
Mailing Address - Fax:972-869-9344
Practice Address - Street 1:7620 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7512
Practice Address - Country:US
Practice Address - Phone:214-414-3740
Practice Address - Fax:972-869-9344
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX197611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice