Organization
DR. JAMES HAI T. NGUYEN, LLC
Active
Other names
Dental & Vision Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES NGUYEN D.M.D. (OWNER DENTIST)
(860) 956-1396
Entity
Organization
Contact information
Practice address
1402 BERLIN TPKE, WETHERSFIELD, CT 06109-1010
(860) 956-1396
Mailing address
1402 BERLIN TURNPIKE, WETHERSFIELD, CT 06109
(860) 956-1396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9130
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002091304
—
CT
01
—
9130
STATE LICENSE
CT
Enumeration date
07/23/2009
Last updated
02/10/2014
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