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Organization

29 DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AN VAN NGUYEN DDS (MEMBER)
(850) 484-4844
Entity
Organization

Contact information

Practice address
2850 MONROE ST, PENSACOLA, FL 32514-7656
(850) 484-4844
Mailing address
2850 MONROE ST, PENSACOLA, FL 32514-7656

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17043
FL

Other

Enumeration date
05/02/2012
Last updated
05/02/2012
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