Provider Demographics
NPI:1114142155
Name:NGUYEN, VICTORIA HANH DIEM (DDS)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:HANH DIEM
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 1:13260 JOSEY LN STE 101
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-4979
Mailing Address - Country:US
Mailing Address - Phone:945-209-1848
Mailing Address - Fax:866-829-7913
Practice Address - Street 1:13260 JOSEY LN STE 101
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-4979
Practice Address - Country:US
Practice Address - Phone:945-209-1848
Practice Address - Fax:866-829-7913
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX197991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice