Individual
DR. TINA D NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4 PROGRESS ST, SUITE B1, EDISON, NJ 08820-1199
(917) 816-7612
Mailing address
11 CATTANO AVE, APT 418, MORRISTOWN, NJ 07960-6829
(917) 816-7612
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
048738-1
NY
1223P0221X
Pediatric Dentistry
22DI02218800
NJ
1223P0221X
Pediatric Dentistry
Primary
22DI02218802
NJ
Other
Enumeration date
10/12/2006
Last updated
09/30/2007
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