Individual
THAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4781
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53840
CA
Other
Enumeration date
12/27/2007
Last updated
01/07/2008
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