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General NPI Number Information
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NPI Number | 1346036068
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Entity Type | Organization
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Legal Business Name | THU B. NGUYEN DMD, INC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 2247 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-5314
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Country | US
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Telephone | 657-244-6533
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Fax |
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Provider Business Mailing Address
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Address Line | 1192 SUMMERVIEW LN
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-4156
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THU NGUYEN
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Credential |
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Telephone | 657-244-6533
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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 |
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License Number State |
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