Individual
TRUNG THE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 MARKET ST STE A2, CLARKSTON, GA 30021-2652
(404) 296-8877
Mailing address
3700 MARKET ST STE A2, CLARKSTON, GA 30021-2652
(404) 296-8877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122450
GA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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