Organization
CAROLYN T. NGUYEN, DMD, PA
Active
Other names
Concord Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN T NGUYEN DMD (PRESIDENT/OWNER)
(407) 896-3393
Entity
Organization
Contact information
Practice address
1204 E CONCORD ST, ORLANDO, FL 32803-5453
(407) 896-3393
(407) 896-3244
Mailing address
1204 E CONCORD ST, ORLANDO, FL 32803-5453
(407) 896-3393
(407) 896-3244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076668200
—
FL
Enumeration date
08/13/2012
Last updated
08/13/2012
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