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Individual

LAN MAI NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2235 CARTER DR STE 109, ARLINGTON, TX 76010-0213
(817) 461-5510
Mailing address
2235 CARTER DR STE 109, ARLINGTON, TX 76010-0213
(817) 461-5510

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18140
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009468201
TX
Enumeration date
10/30/2008
Last updated
10/30/2008
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