Individual
QUOC BAO PAUL NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13353 HIGHWAY 73 STE A, GEISMAR, LA 70734-3090
(225) 255-2697
Mailing address
13111 LAVAL ST, NEW ORLEANS, LA 70129-1113
(504) 920-2717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6860
LA
Other
Enumeration date
05/20/2018
Last updated
05/20/2018
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