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Organization
LE-NGUYEN DENTAL INC
Active
Organization
LE-NGUYEN DENTAL INC
Active
Other names
El Portal Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANG CONG NGUYEN DDS (CEO)
(209) 385-1479
Entity
Organization
Contact information
Practice address
3393 G ST, SUITE B, MERCED, CA 95340-0964
(209) 385-1479
(209) 723-7087
Mailing address
3393 G ST, SUITE B, MERCED, CA 95340-0964
(209) 385-1479
(209) 723-7087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51984
CA
Other
Enumeration date
01/31/2007
Last updated
10/20/2014
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