Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 28898 | TX |
NPI | 1518306877 |
---|---|
Provider Name | Dr. David Ruben Nguyen |
First Address | Frisco, TX 75033-0290 |
Second Address | Frisco, TX 75033-0290 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 08/08/2019 |