Individual
CHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
560 N US HIGHWAY 27 # 441, LADY LAKE, FL 32159-3776
(352) 259-1065
Mailing address
1147 GREEN VISTA CIR, APOPKA, FL 32712-2182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22798
FL
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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