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NPI Code Detail

MEDICARE: MINHLY DUY NGUYEN DDS PA

MEDICARE: MINHLY DUY NGUYEN DDS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry21485TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033237656
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINHLY DUY NGUYEN DDS PA
Provider Business Mailing Address
First Line : 12125 HIGHWAY 6 STE D
Second Line :
City : FRESNO
State : TX
Zip : 77545-8844
Country : US
Telephone Number : 281-431-8909
Fax Number : 281-431-8985
Provider Business Practice Location Address
First Line : 12125 HIGHWAY 6 STE D
Second Line :
City : FRESNO
State : TX
Zip : 77545-8844
Country : US
Telephone Number : 281-431-8909
Fax Number : 281-431-8985
Authorized Official
Title or Position : PRESIDENT
Name : MR. MINHLY DUY NGUYEN
Credential : DDS
Telephone Number : 281-431-8909
Provider Enumeration Date : 03/26/2007
Last Update Date : 05/20/2008

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Directions to “MINHLY DUY NGUYEN DDS PA ” Practice Location

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