Individual
DR. JODI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
825 S HILLSIDE ST, WICHITA, KS 67211-3005
(620) 521-6994
Mailing address
145 N LORRAINE AVE APT 1, WICHITA, KS 67214-4857
(620) 521-6994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61870
KS
Other
Enumeration date
06/23/2021
Last updated
06/30/2021
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