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Individual
SON X NGUYEN
Active
Individual
SON X NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63723
CA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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