| Bao-chau Le Nguyen, D.d.s., P.c. | |
|
14265 Brookhurst St Garden Grove CA 92843-4648 | |
| (714) 531-2773 | |
| Not Available |
| Full Name | Bao-chau Le Nguyen, D.d.s., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14265 Brookhurst St, Garden Grove, California |
| Authorized Official Name and Position | Bao-chau Le Nguyen (PRESIDENT) |
| Authorized Official Contact | 7147594442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bao-chau Le Nguyen, D.d.s., P.c. 14265 Brookhurst St Garden Grove CA 92843-4648 Ph: (714) 531-2773 | Bao-chau Le Nguyen, D.d.s., P.c. 14265 Brookhurst St Garden Grove CA 92843-4648 Ph: (714) 531-2773 |
| NPI Number | 1275010704 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 06/11/2020 |
| Medicare PECOS PAC ID | 1052741709 |
|---|---|
| Medicare Enrollment ID | O20200420002235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275010704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 62856 (California) | Primary |
| Provider Name | Bao-chau Le Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699101295 PECOS PAC ID: 3870923527 Enrollment ID: I20200420002459 |
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