Individual
DR. KIM-LOAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2200 E 4500 S STE 100, HOLLADAY, UT 84117-4032
(801) 288-1888
Mailing address
2200 E 4500 S STE 100, HOLLADAY, UT 84117-4032
(801) 288-1888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5005527-9921
UT
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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