Jack Nguyen, Dds, Pllc

NPI #1285111617 in Henderson, Nevada

Provider Information

NPI Number: 1285111617
Entity Type: Organization
Organization Name: Jack Nguyen, Dds, Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 27, 2018
Last Updated: Jul 27, 2018

Practice Location

Address: 2654 W HORIZON RIDGE PKWY STE B5-346
City: Henderson
State: Nevada
ZIP Code: 89052-2803
Phone: (310) 710-9960

Authorized Official

Name: DR. JACK NGUYEN, DDS
Title: DOCTOR/OWNER
Phone: (310) 710-9960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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