Individual
DR. MONG-TRINH THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
249 W BROADWAY, 2D, NEW YORK, NY 10013-2400
(212) 925-4000
(212) 295-4000
Mailing address
249 WEST BROADWAY, 2D, NEW YORK, NY 10013
(212) 925-4000
(212) 295-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282439
—
NY
Enumeration date
05/14/2007
Last updated
02/01/2017
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