Individual
DAI THE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS045403
PA
122300000X
Dentist
Primary
G9-0010553
DE
Other
Enumeration date
07/29/2024
Last updated
06/16/2026
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