Individual
THUY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
331 N BROADWAY, GREEN BAY, WI 54303-2701
(920) 965-0831
Mailing address
4910 FOUNDERS TER APT 101, HOBART, WI 54155-7703
(571) 255-0778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001380-15
WI
1223G0001X
General Practice Dentistry
Primary
34686
TX
Other
Enumeration date
07/21/2016
Last updated
12/18/2018
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