Individual
EMILY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
(813) 397-5300
Mailing address
118 MULRY DR, NICEVILLE, FL 32578-7305
(850) 543-6912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28177
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2023
Last updated
07/16/2024
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