Individual
ANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-5042
(678) 906-5355
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-4005
(678) 906-5355
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN016022
GA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
10731
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2019
Last updated
04/26/2022
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