Individual
NGUYEN THAO THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
26 QUEEN STREET, WORCESTER, MA 01610
(508) 860-7700
Mailing address
26 QUEEN STREET, WORCESTER, MA 01610-8611
(508) 860-7700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858006
MA
Other
Enumeration date
08/01/2017
Last updated
10/04/2018
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