Individual
DR. DUY QUOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND AFB, TX 78236
(210) 292-8626
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-8626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
60648
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11407513-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
39849
TX
Other
Enumeration date
04/15/2011
Last updated
08/15/2023
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