Individual
DR. JEREMY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2285 NORTHAMPTON ST, HOLYOKE, MA 01040
(413) 538-8700
Mailing address
130 AUCKLAND ST APT 102, BOSTON, MA 02125-1549
(617) 888-2478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858030
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2018
Last updated
07/13/2018
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