Individual
AN H NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(580) 442-5925
Mailing address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(580) 442-5925
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1595315391
MILITARY DOD
—
Enumeration date
03/12/2025
Last updated
03/12/2025
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