DR. Phuong Thao Tran Nguyen, DDS, MSD

NPI #1376039024 in Lithia Springs, Georgia

Provider Information

NPI Number: 1376039024
Entity Type: Individual
Name: DR. Phuong Thao Tran Nguyen, DDS, MSD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DDS, MSD
Enumeration Date: Jul 5, 2018
Last Updated: Mar 17, 2023

Practice Location

Address: 2168 SKYVIEW DR
City: Lithia Springs
State: Georgia
ZIP Code: 30122-2638
Phone: (770) 739-5097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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