Individual
PHI VIET CAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 SHREWSBURY ST, WORCESTER, MA 01604-4648
(508) 802-4301
Mailing address
400 S 40TH ST APT 116, PHILADELPHIA, PA 19104-6701
(312) 619-2017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859892
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2023
Last updated
08/16/2023
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