Individual
AN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104
(314) 977-8363
Mailing address
3320 RUTGER ST, SAINT LOUIS, MO 63104
(314) 977-8363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014015267
MO
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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