Paul Nguyen

NPI #1184487118 in Virginia, Illinois

Provider Information

NPI Number: 1184487118
Entity Type: Individual
Name: Paul Nguyen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 1, 2024
Last Updated: Jul 18, 2024

Practice Location

Address: 331 S MAIN ST
City: Virginia
State: Illinois
ZIP Code: 62691-1571
Phone: (217) 452-3057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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