Individual
JULIA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 MISSION RD STE 317, PRAIRIE VILLAGE, KS 66208
(913) 236-7668
Mailing address
9641 N AMBASSADOR DR UNIT 2407, KANSAS CITY, MO 64154-7269
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
019030264
IL
1223E0200X
Endodontics
2019033972
MO
1223E0200X
Endodontics
Primary
61726
KS
Other
Enumeration date
05/07/2014
Last updated
10/10/2019
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