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General NPI Number Information
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NPI Number | 1932341831
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Entity Type | Organization
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Legal Business Name | DUNG BUI & JOANNE NGUYEN, DMD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 70 E HORIZON RIDGE PKWY SUITE 150
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City | HENDERSON
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State | NV
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Zip | 89002-7925
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Country | US
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Telephone | 702-566-5509
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Fax | 702-566-5198
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Provider Business Mailing Address
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Address Line | 70 E HORIZON RIDGE PKWY SUITE 150
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City | HENDERSON
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State | NV
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Zip | 89002-7925
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Country | US
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Telephone | 702-566-5509
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Fax | 702-566-5198
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | JOANNE A NGUYEN
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Credential | DMD
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Telephone | 702-566-5509
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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 | 4701
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License Number State | NV
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