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1114219615
DEREK P NGUYEN
FAYETTEVILLE, NY
NPI
1114219615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: NY 056306)
Enumeration Date
2011-05-03
Last Update Date
2019-07-14
Business Address
DEREK P NGUYEN DDS
8016 E GENESEE ST
FAYETTEVILLE, NY 13066-9692
Phone number: 315-637-6961
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Mailing Address
DEREK P NGUYEN DDS
11228 NE 134TH PL
VANCOUVER, WA 98682-2070
Phone number: 360-921-2187
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