Individual
JESSICA ANN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3420 BAYSIDE LAKES BLVD SE, PALM BAY, FL 32909-6894
(321) 722-0155
Mailing address
7529 COLONY LAKE DR, BOYNTON BEACH, FL 33436-1305
(561) 306-3555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28118
FL
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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