Individual
DR. DA-THAO THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6915 LONGLEAF PINE PKWY, SAINT JOHNS, FL 32259-7180
(270) 320-1594
Mailing address
1739 BROKEN BOW DR W, JACKSONVILLE, FL 32225-3571
(270) 320-1594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28959
FL
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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