Individual
DR. MELISSA L NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
711 SW 19TH ST, MOORE, OK 73160-2957
(405) 378-5692
Mailing address
625 NW 54TH ST, OKLAHOMA CITY, OK 73118-6012
(405) 818-0042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6503
OK
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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