Provider Demographics
NPI:1831327659
Name:NGUYEN, REYNA M (DDS)
Entity type:Individual
Prefix:DR
First Name:REYNA
Middle Name:M
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:6560 FANNIN ST STE 1522
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2705
Mailing Address - Country:US
Mailing Address - Phone:713-790-6477
Mailing Address - Fax:713-790-6416
Practice Address - Street 1:6560 FANNIN ST STE 1522
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2705
Practice Address - Country:US
Practice Address - Phone:713-790-6477
Practice Address - Fax:713-790-6416
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX287781223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery