Organization
DIANE HAO NGUYEN DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE HAO NGUYEN (INCORPORATOR)
(770) 431-9578
Entity
Organization
Contact information
Practice address
969 WINDY HILL RD SE, SUITE J, SMYRNA, GA 30080-2040
(770) 431-9578
(770) 438-2919
Mailing address
2931 PHILLIPS CT, MARIETTA, GA 30068-3161
(678) 371-9936
(770) 438-2919
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
DN012312
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000909235A
—
GA
Enumeration date
03/16/2017
Last updated
03/16/2017
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