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Individual
PHONG T NGUYEN
Active
Individual
PHONG T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24553
TX
Other
Enumeration date
06/17/2009
Last updated
06/26/2009
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