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Organization

TIGER TOWN DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THUNGA THI NGUYEN DDS (OWNER)
(225) 768-8200
Entity
Organization

Contact information

Practice address
8160 YMCA PLAZA DR, SUITE B, BATON ROUGE, LA 70810-0940
(225) 768-8200
(225) 768-8070
Mailing address
8160 YMCA PLAZA DR, SUITE B, BATON ROUGE, LA 70810-0940
(225) 768-8200
(225) 768-8070

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6280
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1862801
LA
Enumeration date
06/10/2014
Last updated
06/10/2014
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