Individual
JONATHAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 N HIGHWAY 190, SUITE 4, COVINGTON, LA 70433-5003
(985) 893-5522
Mailing address
5309 AVRON BLVD, METAIRIE, LA 70006-1016
(504) 782-6813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27106
TX
122300000X
Dentist
Primary
6373
LA
Other
Enumeration date
08/09/2011
Last updated
06/09/2016
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