Provider Demographics
NPI:1043228489
Name:NGUYEN, HOANG CAM T (DMD)
Entity type:Individual
Prefix:DR
First Name:HOANG CAM
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:1500 BROADWAY ST
Mailing Address - Street 2:STE 170
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14212-1845
Mailing Address - Country:US
Mailing Address - Phone:716-645-8999
Mailing Address - Fax:716-893-0486
Practice Address - Street 1:3435 MAIN ST
Practice Address - Street 2:UNIV @ BUFFALO, SDM/RESTORATIVE DEPT
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-3001
Practice Address - Country:US
Practice Address - Phone:716-829-2862
Practice Address - Fax:716-829-2440
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2014-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY051139122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist