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Individual

DR. HIEP Q. NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1329 GRAND POINT AVE, BREAUX BRIDGE, LA 70517-3921
(337) 332-2412
(337) 332-5159
Mailing address
1329 GRAND POINT AVE, BREAUX BRIDGE, LA 70517-3921
(337) 332-2412
(337) 332-5159

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5265
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1852651
LA
Enumeration date
01/09/2007
Last updated
07/08/2007
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