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General NPI Number Information
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NPI Number | 1184736860
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Entity Type | Organization
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Legal Business Name | NGUYEN SILVA & SILVA DMD
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1505 W LEE ST
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City | GREENSBORO
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State | NC
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Zip | 27403-2714
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Country | US
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Telephone | 336-510-2600
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Fax | 336-510-2601
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Provider Business Mailing Address
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Address Line | 1505 W LEE ST
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City | GREENSBORO
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State | NC
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Zip | 27403-2714
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Country | US
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Telephone | 336-510-2600
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Fax | 336-510-2601
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Authorized Official
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Title or Position | PARTNER
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Name | DR. TUNG THAI NGUYEN
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Credential | DMD
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Telephone | 336-510-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 200001336423
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License Number State | NC
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