| NPI | 1013646165 |
|---|---|
| Former Name | MY T NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: DE G1-0011609) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MD 17482) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2025-06-16 |