Individual
DR. TAN BINH PHAN NGUYEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1816 LAKEFIELD CT, CONYERS, GA 30013
(770) 860-8760
(678) 413-8144
Mailing address
2389 ALDEN WOODS DR, JONESBORO, GA 30236
(770) 210-9346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012489
GA
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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