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Organization

JESSICA M NGUYEN DMD MPH PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA NGUYEN (PRESIDENT)
(805) 535-5840
Entity
Organization

Contact information

Practice address
2355 W HARRISON ST, APT 2, CHICAGO, IL 60612-4684
(805) 535-5840
Mailing address
2355 W HARRISON ST, APT 2, CHICAGO, IL 60612-4684

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029407
IL

Other

Enumeration date
01/10/2014
Last updated
01/10/2014
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