Individual
LOANE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
159 CENTRAL STREET, LOWELL, MA 01852
(978) 459-6262
(978) 458-0358
Mailing address
159 CENTRAL STREET, LOWELL, MA 01852
(978) 459-6262
(978) 458-0358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280577
—
MA
01
—
9784853
GROUP PROVIDER
MA
Enumeration date
01/02/2007
Last updated
07/09/2007
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