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Organization
PETRILLO & NGUYEN DDS., PA
Active
Organization
PETRILLO & NGUYEN DDS., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAI NGUYEN DDS (OWNER)
(407) 898-5676
Entity
Organization
Contact information
Practice address
1033 N MILLS AVE, SUITE 100, ORLANDO, FL 32803-3239
(407) 898-5676
Mailing address
PO BOX 531111, ORLANDO, FL 32853-1111
(407) 898-5676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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