# ST CLOUD FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518934306
- **Authorized official:** DR. NHANGUYEN NGUYEN DDS (DENTIST)
- **Authorized official phone:** (320) 529-0910

## Contact information

- **Practice address:** 1011 2ND ST N, STE 102, SAINT CLOUD, MN 56303-4616
- **Practice address phone:** (320) 529-0910
- **Mailing address:** 1011 2ND ST N, STE 102, SAINT CLOUD, MN 56303-4616
- **Mailing address phone:** (320) 529-0910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D11111 | MN | Yes |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 08/22/2020