JESSICA NGUYEN
Dentist
Active
Individual
NPI: 1477170629
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D11410 (MN) |
Frequently Asked Questions
NPI 1477170629 is the National Provider Identifier for JESSICA NGUYEN, a Dentist provider located in Forest Lake, MN. This NPI was enumerated on July 2, 2020.
JESSICA NGUYEN practices at 107 12TH ST SW STE 2, Forest Lake, MN 55025.
Quick Facts
- NPI
- 1477170629
- Type
- Individual
- Enumerated
- Jul 2, 2020
- Last Updated
- Jul 2, 2020
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