Individual
THU MONG TRAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1702 AMMON FALLS CT, BRASELTON, GA 30517
(706) 233-2942
Mailing address
1702 AMMON FALLS CT, BRASELTON, GA 30517-3447
(706) 233-2942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014169
GA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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