Individual
DR. BAO VAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3725 CENTRAL AVE, ST PETERSBURG, FL 33713-8338
(727) 323-0377
(727) 323-3989
Mailing address
1023 MARCO DR NE, ST PETERSBURG, FL 33702-2717
(727) 323-0377
(727) 323-3989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN8235
FL
Other
Enumeration date
11/05/2006
Last updated
07/08/2007
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