Individual
THAI QUOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1128 CLEARVIEW PKWY, METAIRIE, LA 70001-3418
(504) 733-1135
Mailing address
4013 NEWLANDS ST, METAIRIE, LA 70002-4343
(225) 907-7034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6103
LA
Other
Enumeration date
08/10/2010
Last updated
12/12/2012
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