Individual
JESSICA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6307 N FRESNO ST STE 102, FRESNO, CA 93710-5284
(559) 224-5423
Mailing address
6307 N FRESNO ST STE 102, FRESNO, CA 93710-5284
(559) 224-5423
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
63583
CA
Other
Enumeration date
09/09/2013
Last updated
01/31/2019
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