Individual
DR. CAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
1200 WASHINGTON AVE, PHILADELPHIA, PA 19147-3618
(215) 999-6969
Mailing address
1200 WASHINGTON AVE STE 200, PHILADELPHIA, PA 19147-3627
(159) 996-9692
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
45594
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS029806L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103480959
—
PA
05
—
D45594
—
CA
Enumeration date
02/13/2007
Last updated
11/07/2023
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