DERIC NGUYEN

SANTA ROSA, CA
NPI1164260568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: VA  0401419057)
Enumeration Date2024-07-18
Last Update Date2024-07-18
Business Address
DERIC NGUYEN DDS
3462 MENDOCINO AVE
SANTA ROSA, CA 95403-2214
Phone number: 707-508-7095
Mailing Address
DERIC NGUYEN DDS
3462 MENDOCINO AVE
SANTA ROSA, CA 95403-2214
Phone number: 707-508-7095
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