Individual
NHUOC LAN VICTORIA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 BOSTON AVE, BRIDGEPORT, CT 06610-1604
(475) 422-8761
Mailing address
275 WINCHESTER AVE APT 209, NEW HAVEN, CT 06511-1994
(646) 226-6956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13828
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
06/28/2023
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