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General NPI Number Information
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NPI Number | 1861603870
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Entity Type | Organization
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Legal Business Name | MINH B. NGUYEN, DDS
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2221 SUNSET BLVD STE 119
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City | ROCKLIN
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State | CA
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Zip | 95765-4784
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Country | US
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Telephone | 916-435-1155
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Fax | 916-435-1152
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Provider Business Mailing Address
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Address Line | 2221 SUNSET BLVD STE 119
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City | ROCKLIN
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State | CA
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Zip | 95765-4784
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Country | US
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Telephone | 916-435-1155
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Fax | 916-435-1152
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Authorized Official
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Title or Position | OWNER
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Name | DR. MINH B NGUYEN
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Credential | DDS
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Telephone | 916-435-1155
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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 | 45506
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License Number State | CA
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