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Individual
HENRY CHUONG NGUYEN
Active
Individual
HENRY CHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011563
GA
1223G0001X
General Practice Dentistry
DN011563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00714172A
—
GA
01
—
39100
AVESIS
GA
01
—
9180327
DORAL
GA
Enumeration date
07/18/2006
Last updated
07/05/2022
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