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General NPI Number Information
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NPI Number | 1841375904
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Entity Type | Organization
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Legal Business Name | TUAN D NGUYEN, DDS, INC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10431 LEMON AVE SUITE K
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-3700
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Country | US
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Telephone | 909-476-8303
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Fax | 909-476-8206
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Provider Business Mailing Address
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Address Line | 10431 LEMON AVE SUITE K
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-3700
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Country | US
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Telephone | 909-476-8303
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Fax | 909-476-8206
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Authorized Official
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Title or Position | OFFICER
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Name | DR. TUAN D NGUYEN
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Credential | DDS
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Telephone | 909-476-8303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 45512
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License Number State | CA
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