Individual
THI MY LINH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6855 S 27TH ST, FRANKLIN, WI 53132-8045
(414) 435-0787
Mailing address
2366 N HUMBOLDT BLVD, MILWAUKEE, WI 53212-3524
(920) 840-5650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001548-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2024
Last updated
06/07/2024
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