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NPI Code Detail

MEDICARE: NGUYEN-TANG PLLC

MEDICARE: NGUYEN-TANG PLLC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1871273144
Entity Type Code : Organization
Provider Name (Legal Business Name) : NGUYEN-TANG PLLC
Provider Business Mailing Address
First Line : 8610 NICHOLS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5377
Country : US
Telephone Number : 951-719-5666
Fax Number :
Provider Business Practice Location Address
First Line : 9250 S RAINBOW BLVD STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7259
Country : US
Telephone Number : 951-719-5666
Fax Number :
Authorized Official
Title or Position : OWNER DOCTOR
Name : DR. HONGHA NGUYEN
Credential : DMD
Telephone Number : 951-719-5666
Provider Enumeration Date : 07/21/2023
Last Update Date : 08/17/2023

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Directions to “NGUYEN-TANG PLLC ” Practice Location

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