NPI | 1477640290 |
---|---|
Former Name | DUNG MANH ANH NGUYEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4856) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 6190) |
122300000X Dentist (Licence: CA 58907) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2014-06-20 |