Organization
ALBEMARLE ROAD FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGUYEN TRI NGUYEN DDS (DENTIST)
(704) 910-4720
Entity
Organization
Contact information
Practice address
6404 ALBEMARLE RD, SUITE C, CHARLOTTE, NC 28212-3800
(704) 910-4720
(704) 910-4102
Mailing address
6404 ALBEMARLE RD, SUITE C, CHARLOTTE, NC 28212-3800
(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
05/15/2014
Last updated
02/09/2016
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