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General NPI Number Information
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NPI Number | 1376340794
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Entity Type | Organization
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Legal Business Name | TRUST FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 805 S FEDERAL BLVD
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City | DENVER
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State | CO
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Zip | 80219-3412
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Country | US
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Telephone | 303-935-2353
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Fax |
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Provider Business Mailing Address
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Address Line | 2226 S FRASER ST UNIT 6
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City | AURORA
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State | CO
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Zip | 80014-4534
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Country | US
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Telephone | 720-662-7268
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KHOA NGUYEN
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Credential | DDS
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Telephone | 303-667-2438
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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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