Individual
DR. AN NGOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1888 MAIN ST, HARTFORD, CT 06120-2357
(860) 768-9062
Mailing address
1888 MAIN ST, HARTFORD, CT 06120-2357
(860) 768-9062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11642
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/15/2015
Last updated
06/23/2016
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