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Individual

AN TAT NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3425 GRANDE BULEVAR, IRVING, TX 75062
(972) 639-5836
(469) 586-4761
Mailing address
3425 GRANDE BULEVAR, IRVING, TX 75062-5108
(972) 639-5836
(469) 586-4761

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20493
TX

Other

Enumeration date
09/06/2006
Last updated
10/18/2019
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