# NGUYEN LE NAM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LA CHOLLA DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194040147
- **Authorized official:** DR. NAM L NGUYEN D.D.S. (CEO)
- **Authorized official phone:** (520) 505-4858

## Contact information

- **Practice address:** 2040 W ORANGE GROVE RD, SUITE 160, TUCSON, AZ 85704-1200
- **Practice address phone:** (520) 505-4858
- **Practice address fax:** (520) 638-7781
- **Mailing address:** 2040 W ORANGE GROVE RD, SUITE 160, TUCSON, AZ 85704-1200
- **Mailing address phone:** (520) 505-4858
- **Mailing address fax:** (520) 638-7781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7458 | AZ | Yes |

## Other

- **Enumeration date:** 04/02/2010
- **Last updated:** 04/02/2010