| 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 |