Individual
DR. NICOLE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2910 TRIMBLE RD STE 109, COLUMBIA, MO 65201-7126
(573) 826-4287
Mailing address
5808 WALNUT AVE APT 1A, DOWNERS GROVE, IL 60516-6009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019019082
MO
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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