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Individual

DR. PHUONG (FERN) THI THU NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
95 LYNN ST, SUITE #2, PEABODY, MA 01960-5705
(978) 532-1555
(978) 532-5519
Mailing address
95 LYNN ST, SUITE #2, PEABODY, MA 01960-5705
(978) 532-1555
(978) 532-5519

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18181
MA

Other

Enumeration date
08/18/2006
Last updated
07/08/2007
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