Individual
VAN ANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6074 N TROY ST., CHICAGO, IL 60659
(408) 466-5655
Mailing address
6074 N TROY ST., CHICAGO, IL 60659
(408) 466-5655
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020014158
IL
124Q00000X
Dental Hygienist
13007324A
IN
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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