Lisa Nguyen Dds Inc | |
2511 S Central Ave Suite A Los Angeles CA 90011-1634 | |
(213) 763-2510 | |
(213) 763-2513 |
Full Name | Lisa Nguyen Dds Inc |
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Speciality | Dentist - General Practice |
Location | 2511 S Central Ave, Los Angeles, California |
Authorized Official Name and Position | Lisa Nguyen (PRESIDENT) |
Authorized Official Contact | 2137632510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lisa Nguyen Dds Inc 2511 S Central Ave Suite A Los Angeles CA 90011-1634 Ph: (213) 763-2510 | Lisa Nguyen Dds Inc 2511 S Central Ave Suite A Los Angeles CA 90011-1634 Ph: (213) 763-2510 |
NPI Number | 1588717383 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588717383 | NPI | - | NPPES |
G9384201 | Other | CA | DENTICAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 47534 (California) | Primary |
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