NPI | 1700444114 |
---|---|
Former Name | CHRISTINA H NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 13151) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901023221) |
Enumeration Date | 2019-05-31 |
Last Update Date | 2023-04-04 |