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Organization
ERIC D. LUU & LISA M. NGUYEN
Active
Organization
ERIC D. LUU & LISA M. NGUYEN
Active
Other names
Mint Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARY NGUYEN DDS (DENTIST)
(925) 292-5231
Entity
Organization
Contact information
Practice address
87 FENTON ST, STE 105, LIVERMORE, CA 94550-4100
(925) 292-5231
Mailing address
87 FENTON ST, STE 105, LIVERMORE, CA 94550-4100
(925) 292-5231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57669
CA
1223G0001X
General Practice Dentistry
58727
CA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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