| NPI | 1104213255 |
|---|---|
| Other Name | ANN NGOC NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 11642) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2016-06-23 |