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NPI Code Detail

MEDICARE: KATE T. NGUYEN, DDS, MS, PROF. CORP.

MEDICARE: KATE T. NGUYEN, DDS, MS, PROF. CORP.
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry4781NV

General Provider Information

NPI Number : 1578750105
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATE T. NGUYEN, DDS, MS, PROF. CORP.
Provider Business Mailing Address
First Line : 6175 SUNDOWN CREST ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-6602
Country : US
Telephone Number : 702-882-5614
Fax Number :
Provider Business Practice Location Address
First Line : 6175 SUNDOWN CREST ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-6602
Country : US
Telephone Number : 702-882-5614
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : THAO NGUYEN
Credential :
Telephone Number : 702-882-5614
Provider Enumeration Date : 09/27/2007
Last Update Date : 09/27/2007

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