Individual
LINDA T NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 LEE BLVD, LEHIGH ACRES, FL 33971-1576
(239) 278-3600
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9971
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106463200
—
FL
Enumeration date
02/28/2019
Last updated
09/30/2020
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