Individual
QUANG LE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
56 COURTENAY DR, CHARLESTON, SC 29403-5707
(843) 792-3366
Mailing address
400 CABRILL DR, CHARLESTON, SC 29414-9040
(843) 571-0867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4223
SC
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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