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Organization
VICKY NGUYEN DDS PC
Active
Organization
VICKY NGUYEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY NGUYEN DDS (PRESIDENT DENTIST)
(770) 431-9578
Entity
Organization
Contact information
Practice address
969 WINDY HILL ROAD, SUITE J, SMYRNA, GA 30080
(770) 431-9578
(770) 438-2919
Mailing address
969 WINDY HILL ROAD, SUITE J, SMYRNA, GA 30080
(770) 431-9578
(770) 438-2919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
44962
CA
122300000X
Dentist
Primary
DN011814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00802194B
—
GA
01
—
100488
AVESIS
GA
01
—
108026
DORAL
GA
01
—
166402
DORAL
GA
01
—
39274
AVESIS
GA
01
—
9180328
DORAL
GA
Enumeration date
11/13/2006
Last updated
08/22/2020
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