NPI 1528509510
Phong Nguyen, ADT
Practice location
- Address
- 1213 E Franklin Ave, Minneapolis, MN 55404
- Phone
- (612) 872-8086
- Fax
- (612) 872-8547
- Mailing address
- 1213 E Franklin Ave, Minneapolis, MN 55404-2923
Registered specialties (3)
Advanced Practice Dental Therapist
Primary
Dental Hygienist
Dental Therapist
Registry record
- NPI
- 1528509510
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Mar 2017
- Record last updated
- 28 Mar 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.