Provider Demographics
NPI:1548306996
Name:NGUYEN, TU-UYEN PHUOC (DDS)
Entity type:Individual
Prefix:DR
First Name:TU-UYEN
Middle Name:PHUOC
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 1:5871 WESTMINSTER BLVD STE F G
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3580
Mailing Address - Country:US
Mailing Address - Phone:714-373-5999
Mailing Address - Fax:714-373-1999
Practice Address - Street 1:5871 WESTMINSTER BLVD STE F G
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3580
Practice Address - Country:US
Practice Address - Phone:714-373-5999
Practice Address - Fax:714-373-1999
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA491661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice