Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1073030045 |
---|---|
Provider Name | Ms. Nhi Thi Yen Nguyen |
First Address | Bellevue, WA 98006-6128 |
Second Address | Bellevue, WA 98006-6128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2017 |
Last Update Date | 29/08/2017 |