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Individual

TAM NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
633 GREENWAY RD SE, GLEN BURNIE, MD 21061-3713
(410) 761-1100
Mailing address
1006 HERITAGE FIELDS AVE, ROCKVILLE, MD 20850-6682

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13207
MD

Other

Enumeration date
11/05/2006
Last updated
07/08/2007
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