Individual
PAULINE PHUONG-UYEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 E TAFT AVE, SAPULPA, OK 74066-5730
(918) 216-4300
Mailing address
1011 E TAFT AVE, SAPULPA, OK 74066-5730
(918) 216-4300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6974
OK
Other
Enumeration date
07/23/2017
Last updated
07/21/2022
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