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Individual

MRS. BAOCHI DANG NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
10267 IZZY WAY, ELK GROVE, CA 95758-1605
(916) 837-9887
(916) 714-6062
Mailing address
10267 IZZY WAY, ELK GROVE, CA 95758-1605
(916) 837-9887
(916) 714-6062

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
266
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18289
RDH
CA
01
266
RDHAP
CA
Enumeration date
08/25/2009
Last updated
09/29/2009
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