Provider Demographics
NPI:1194794552
Name:HOANG-NGUYEN, CHRISTINE F (DDS)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:F
Last Name:HOANG-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 1:4931 W 6TH ST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4830
Mailing Address - Country:US
Mailing Address - Phone:785-312-9912
Mailing Address - Fax:785-312-7333
Practice Address - Street 1:4931 W 6TH ST
Practice Address - Street 2:SUITE 114
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4830
Practice Address - Country:US
Practice Address - Phone:785-312-9912
Practice Address - Fax:785-312-7333
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7101122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist