Individual
DR. AN T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7031A 108TH ST, SUITE 1, FOREST HILLS, NY 11375-4424
(718) 263-0223
(763) 201-5147
Mailing address
14468 26TH AVE, FLOOR 2, FLUSHING, NY 11354-1327
(212) 729-6839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
010096
CT
1223G0001X
General Practice Dentistry
Primary
054465-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03253207
—
NY
Enumeration date
09/09/2009
Last updated
05/07/2015
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