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Organization
NGUYEN FAMILY DENTISTRY PC
Active
Organization
NGUYEN FAMILY DENTISTRY PC
Active
Other names
Nguyen Bath Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHU HUU HOANG NGUYEN (OWNER)
(517) 641-6778
Entity
Organization
Contact information
Practice address
5815 E. CLARK RD., BATH, MI 48808-4880
(517) 641-6778
(517) 641-7937
Mailing address
PO BOX 395, BATH, MI 48808
(517) 641-6778
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154420040
—
MI
Enumeration date
06/28/2022
Last updated
06/28/2022
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