Organization
JACOB NGUYEN RDH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB HIEP NGUYEN RDH (OWNER)
(303) 667-2539
Entity
Organization
Contact information
Practice address
2850 MERRY REST WAY, CASTLE ROCK, CO 80109-3889
(303) 667-2539
Mailing address
2850 MERRY REST WAY, CASTLE ROCK, CO 80109-3889
(303) 667-2539
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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