Organization
NGUYEN TRI NGUYEN, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGUYEN T NGUYEN DDS (OWNER/DENTIST)
(704) 910-4720
Entity
Organization
Contact information
Practice address
6404 ALBEMARLE ROAD, #C, CHARLOTTE, NC 28212
(704) 910-4720
(704) 910-4102
Mailing address
6404 ALBEMARLE ROAD, #C, CHARLOTTE, NC 28212
(704) 910-4720
(704) 910-4102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910224
—
NC
Enumeration date
08/05/2013
Last updated
08/05/2013
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