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General NPI Number Information
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NPI Number | 1740570753
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Entity Type | Organization
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Legal Business Name | NGUYEN DENTISTRY, PA
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 1100 E BARDIN RD STE 120
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City | ARLINGTON
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State | TX
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Zip | 76018-1290
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Country | US
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Telephone | 469-231-1025
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 E BARDIN RD STE 120
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City | ARLINGTON
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State | TX
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Zip | 76018-1290
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Country | US
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Telephone | 469-231-1025
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DONG VAN NGUYEN
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Credential | DDS
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Telephone | 469-231-1025
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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 |
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License Number State |
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