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Individual

DR. PETER SON NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
866 SEVEN HILLS DR STE 102, HENDERSON, NV 89052-4375
(702) 805-8185
(702) 805-8185
Mailing address
866 SEVEN HILLS DR STE 102, HENDERSON, NV 89052-4375
(702) 805-8185
(702) 805-8185

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
64573
CA
1223P0221X
Pediatric Dentistry
Primary
S6-139
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962885848
NV
Enumeration date
07/09/2015
Last updated
03/06/2021
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