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Individual

TONY N NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1407 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3315
(573) 778-3042
Mailing address
2346 LUCAS DR, DALLAS, TX 75219-1734
(469) 531-4292

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2026022792
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MO

Other

Enumeration date
05/04/2023
Last updated
05/29/2026
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