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General NPI Number Information
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NPI Number | 1457064198
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Entity Type | Organization
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Legal Business Name | JOEY NGUYEN, DDS, INC.
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 907 SAN RAMON VALLEY BLVD STE 204
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City | DANVILLE
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State | CA
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Zip | 94526-4060
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Country | US
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Telephone | 925-820-8686
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Fax | 925-820-9986
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Provider Business Mailing Address
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Address Line | 907 SAN RAMON VALLEY BLVD STE 204
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City | DANVILLE
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State | CA
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Zip | 94526-4060
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Country | US
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Telephone | 925-820-8686
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Fax | 925-820-9986
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Authorized Official
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Title or Position | CEO
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Name | JOEY NGUYEN
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Credential | DDS
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Telephone | 408-887-5247
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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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