Individual
DR. MARY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEDIATRIC DENTIST
Contact information
Practice address
3401 GREENBRIAR, MIDLAND, TX 79707-4652
(432) 682-1614
Mailing address
100 RAMBLE LN APT 2336, AUSTIN, TX 78745-0019
(517) 862-7670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020082
MI
122300000X
Dentist
DS040043
PA
1223P0221X
Pediatric Dentistry
Primary
32201
TX
1223P0221X
Pediatric Dentistry
DS040043
PA
Other
Enumeration date
07/20/2009
Last updated
03/17/2018
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