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Dr. Thi Thi Nguyen
Oral and Maxillofacial Surgery (Dentist) in Lilburn, Georgia
NPI 1902505076

Thi Thi Nguyen is a Oral and Maxillofacial Surgery (Dentist) based in Lilburn, GA and is specialized in Oral and Maxillofacial Surgery. Thi Thi Nguyen practices in Lilburn, GA. The NPI Number for Thi Thi Nguyen is 1902505076 and holds a License No. 108550 (Georgia).

The current practice location address for Thi Thi Nguyen is 4036 White Oak Ln Sw, Lilburn, GA and can be reached out via phone at 682-240-9741.

Location: 4036 White Oak Ln Sw, Lilburn, GA, 30047-2263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902505076
Provider Name
Thi Thi Nguyen
Credential
Provider Entity Type
Individual
Gender
Female
Address
4036 White Oak Ln Sw, Lilburn, GA, 30047-2263
Phone Number
682-240-9741
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
061576396 01 GA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
4036 White Oak Ln Sw
City
Lilburn
State
Georgia
Zip
30047-2263
Phone Number
682-240-9741
Fax Number
person
Provider Business Mailing Address Details
Address
4036 White Oak Ln Sw
City
Lilburn
State
Georgia
Zip
30047-2263
Phone Number
682-240-9741
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
108550 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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