Provider Demographics
NPI:1306574447
Name:NGUYEN, CHRISTINA DIEP (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:DIEP
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 1:5299 FORDHAM DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-0152
Mailing Address - Country:US
Mailing Address - Phone:214-435-9491
Mailing Address - Fax:
Practice Address - Street 1:2011 N HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7321
Practice Address - Country:US
Practice Address - Phone:214-823-2182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38764122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist