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General NPI Number Information
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NPI Number | 1801764600
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Entity Type | Organization
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Legal Business Name | THIEN PHUOC DENTAL CARE
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 250 HOSPITAL CIR
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City | WESTMINSTER
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State | CA
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Zip | 92683-3953
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Country | US
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Telephone | 714-867-4330
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 E BRIARVALE AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-1309
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Country | US
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Telephone | 714-867-4330
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Fax |
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Authorized Official
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Title or Position | CEO/DENTIST
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Name | DR. TRANG NGUYEN
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Credential | DDS
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Telephone | 714-867-4330
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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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