Individual
DR. SUSAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8573 URBANDALE AVE, URBANDALE, IA 50322
(515) 279-3848
(515) 279-4479
Mailing address
8573 URBANDALE AVE, URBANDALE, IA 50322
(515) 279-3848
(515) 279-4479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08030
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1209882
—
IA
Enumeration date
12/11/2006
Last updated
07/08/2007
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