| NPI | 1144304312 |
|---|---|
| Former Name | DINH THANH NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4921) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52653) |
| 1223G0001X Dentist, General Practice (Licence: AZ 6128) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |