Individual
MARY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 HIGHWAY 138 SE, STOCKBRIDGE, GA 30281-7821
(470) 713-2776
Mailing address
3515 HIGHWAY 138 SE, STOCKBRIDGE, GA 30281-7821
(470) 713-2776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122870
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2022
Last updated
08/24/2022
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