Individual
SON NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14025 E EXPOSITION AVE, AURORA, CO 80012-2522
(303) 340-0422
Mailing address
3313 N GRIMES ST, HOBBS, NM 88240-1219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD5465
NM
122300000X
Dentist
Primary
DEN.00204838
CO
1223G0001X
General Practice Dentistry
DEN.00204838
CO
Other
Enumeration date
07/01/2021
Last updated
08/05/2022
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