| NPI | 1235810433 |
|---|---|
| Former Name | JULIA MAI LAN NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 108854) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 108854) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-11-01 |