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Organization

GENERAL DENTISTRY PHU T NGUYEN DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHU TAN NGUYEN DDS (PRESIDENT DENTIST)
(407) 290-9568
Entity
Organization

Contact information

Practice address
1429 N PINE HILLS RD, ORLANDO, FL 32808
(407) 290-9568
Mailing address
1429 N PINE HILLS RD, ORLANDO, FL 32808
(407) 290-9568

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11326
FL

Other

Enumeration date
08/26/2006
Last updated
08/22/2020
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