Individual
HUNG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 MILTON AVE STE 140, JANESVILLE, WI 53545-1890
(608) 757-0057
Mailing address
3102 VOLD CT APT 10, JANESVILLE, WI 53546-1536
(909) 255-5250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002488-15
WI
Other
Enumeration date
12/23/2020
Last updated
01/12/2021
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