Individual
NANCY THANH TAM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2002 S HOOVER ST, LOS ANGELES, CA 90007-1323
(310) 858-7373
Mailing address
10682 SENNIT AVE, GARDEN GROVE, CA 92843-5336
(714) 856-4286
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26646
CA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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