DR. Da-Thao Thi Nguyen, DDS

NPI #1811739527 in Saint Johns, Florida

Provider Information

NPI Number: 1811739527
Entity Type: Individual
Name: DR. Da-Thao Thi Nguyen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 12, 2024
Last Updated: Jun 12, 2024

Practice Location

Address: 6915 LONGLEAF PINE PKWY
City: Saint Johns
State: Florida
ZIP Code: 32259-7180
Phone: (270) 320-1594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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