| Lan Nguyen | |
|
10301 S De Anza Blvd Ste 4 Cupertino CA 95014-3027 | |
| (408) 996-8485 | |
| Not Available |
| Full Name | Lan Nguyen |
|---|---|
| Speciality | Dentist |
| Location | 10301 S De Anza Blvd Ste 4, Cupertino, California |
| Authorized Official Name and Position | Lan Nguyen (OWNER) |
| Authorized Official Contact | 4089968485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lan Nguyen 10301 S De Anza Blvd Ste 4 Cupertino CA 95014-3027 Ph: (408) 996-8485 | Lan Nguyen 10301 S De Anza Blvd Ste 4 Cupertino CA 95014-3027 Ph: (408) 996-8485 |
| NPI Number | 1114390689 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114390689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37714 (California) | Primary |
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