Individual
DR. JACK NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2570 WIGWAM PKWY, HENDERSON, NV 89074-6226
(702) 757-3399
Mailing address
2700 BOTTICELLI DR, HENDERSON, NV 89052-3132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100321
CA
122300000X
Dentist
6841
NV
Other
Enumeration date
01/26/2017
Last updated
11/25/2024
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