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General NPI Number Information
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NPI Number | 1346294824
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Entity Type | Organization
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Legal Business Name | HUONG THIEN NGUYEN DDS INC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 316 N HARBOR BLVD
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City | SANTA ANA
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State | CA
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Zip | 92703
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Country | US
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Telephone | 714-554-9894
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Fax | 714-554-9658
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Provider Business Mailing Address
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Address Line | 316 N HARBOR BLVD
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City | SANTA ANA
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State | CA
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Zip | 92703
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Country | US
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Telephone | 714-554-9894
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Fax | 714-554-9658
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUONG THIEN NGUYEN
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Credential | DDS
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Telephone | 714-554-9894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 46901
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License Number State | CA
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