Individual
HUONG THI QUYNH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1020 NW 192ND ST STE H, EDMOND, OK 73012-4296
(405) 648-8966
Mailing address
1020 NW 192ND ST STE H, EDMOND, OK 73012-4296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6960
OK
Other
Enumeration date
11/04/2017
Last updated
12/16/2023
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