Provider Demographics
NPI:1952550360
Name:NGUYEN, QUYNH DH (DDS)
Entity Type:Individual
Prefix:DR
First Name:QUYNH
Middle Name:DH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 128TH ST SW
Mailing Address - Street 2:STE A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5321
Mailing Address - Country:US
Mailing Address - Phone:425-290-9277
Mailing Address - Fax:
Practice Address - Street 1:24722 104TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-5322
Practice Address - Country:US
Practice Address - Phone:253-854-2182
Practice Address - Fax:253-854-2435
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600352481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice