Individual
DR. AUDREY HONG NGHIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 S DURANGO DR STE B2, LAS VEGAS, NV 89117-4410
(817) 821-7696
Mailing address
3220 S DURANGO DR STE B2, LAS VEGAS, NV 89117-4410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6561
NV
1223G0001X
General Practice Dentistry
25566
TX
1223P0221X
Pediatric Dentistry
Primary
S6-186
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6561
NEVADA LICENSE
NV
01
—
S6-186
NEVADA LICENSE
NV
Enumeration date
08/02/2010
Last updated
05/29/2023
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