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Individual

ALAN SI THONG NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8085 W BELL RD STE 103, PEORIA, AZ 85382-3825
(623) 878-5400
Mailing address
9898 RARITAN AVE, FOUNTAIN VALLEY, CA 92708-1047
(714) 548-1940

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D011531
AZ
1223G0001X
General Practice Dentistry
Primary
DDS108317
CA

Other

Enumeration date
07/25/2022
Last updated
11/22/2022
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