Individual
BANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1701 E MOYAMENSING AVE, PHILADELPHIA, PA 19148-1931
(404) 721-5462
Mailing address
1500 HAMILTON ST APT 1432, PHILADELPHIA, PA 19130-2557
(713) 291-2483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044580
PA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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