Individual
LONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 ELK DR, MCALESTER, OK 74501-7606
(918) 426-2442
Mailing address
3101 ELK DR, MCALESTER, OK 74501-7606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6905
OK
Other
Enumeration date
06/25/2013
Last updated
12/23/2017
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