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Organization

NANDHAVAN DENTAL P LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHUONG THANH NGUYEN NHU DMD (OWNER)
(781) 438-1003
Entity
Organization

Contact information

Practice address
106 MAIN ST STE 5, STONEHAM, MA 02180-3362
(781) 438-1003
(781) 435-1996
Mailing address
106 MAIN ST STE 5, STONEHAM, MA 02180-3362
(781) 438-1003
(781) 435-1996

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/17/2019
Last updated
02/02/2020
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