Individual
KATHLEEN KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 31ST ST, ASTORIA, NY 11105-2765
(718) 635-3222
Mailing address
11590 TRAILBRUSH PT, SAN DIEGO, CA 92126-8017
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062786
NY
1223P0221X
Pediatric Dentistry
DDS105624
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
06/01/2023
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