Individual
DR. DUKE PHU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 412-8547
Mailing address
2441 21ST AND KENTUCKY AVE, FORT CAMPBELL, KY 42223
(270) 798-8751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00010681
CO
122300000X
Dentist
DN15462
FL
1223G0001X
General Practice Dentistry
Primary
DEN.00010681
CO
Other
Enumeration date
12/04/2006
Last updated
03/22/2023
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