Organization
LANGE & NGUYEN DENTISTRY
Active
Other names
Market Place Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO CHAU NGUYEN DDS (DENTIST/OWNER)
(414) 764-2110
Entity
Organization
Contact information
Practice address
8651 S MARKET PL, OAK CREEK, WI 53154-3523
(414) 764-2110
(414) 764-5360
Mailing address
8651 S MARKET PL, OAK CREEK, WI 53154-3523
(414) 764-2110
(414) 764-5360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5362
WI
Other
Enumeration date
01/20/2008
Last updated
01/20/2008
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