Individual
HAI DUC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
21ST DENTAL MCBH UNIT 38450, KANEOHE BAY, HI 96863
(808) 257-3100
Mailing address
PO BOX 63037, 21ST DENTAL MCBH, KANEOHE BAY, HI 96863
(808) 257-3100
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7119
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N-250-298-155-202
MARYLAND DRIVE LICENSE
MD
Enumeration date
08/03/2012
Last updated
08/03/2012
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