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NPI Code Detail

MEDICARE: DR. KHANH THI-BIEN NGUYEN DDS

MEDICARE: DR. KHANH THI-BIEN NGUYEN DDS
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
1122300000XDentist0023255TX

General Provider Information

NPI Number : 1144411984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHANH THI-BIEN NGUYEN DDS
Provider Business Mailing Address
First Line : 3010 LBJ FWY STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75234-2723
Country : US
Telephone Number : 972-444-8888
Fax Number : 972-247-9236
Provider Business Practice Location Address
First Line : 3010 LBJ FWY STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75234-2723
Country : US
Telephone Number : 972-444-8888
Fax Number : 972-247-9236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2007
Last Update Date : 08/07/2007

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Directions to “ DR. KHANH THI-BIEN NGUYEN DDS” Practice Location

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