Individual
LONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 S HIGHWAY 160 STE C-11, PAHRUMP, NV 89048-2176
(775) 727-8818
Mailing address
1721 TANGIERS DR, HENDERSON, NV 89012-7239
(702) 328-1427
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
S7-92
NV
1223G0001X
General Practice Dentistry
6767
NV
Other
Enumeration date
04/22/2014
Last updated
08/07/2016
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