Individual
DR. QUI Q NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12 COLLEEN DR, LAKEVILLE, MA 02347-1663
(508) 947-0111
(508) 947-9815
Mailing address
12 COLLEEN DR, LAKEVILLE, MA 02347-1663
(508) 947-0111
(508) 947-9815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20379
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201847
—
MA
05
—
02329582
—
NY
05
—
30302082
—
NH
Enumeration date
11/08/2006
Last updated
07/09/2007
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