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Organization
LISA NGUYEN DDS INC
Active
Organization
LISA NGUYEN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NGUYEN (PRESIDENT)
(213) 763-2510
Entity
Organization
Contact information
Practice address
2511 S CENTRAL AVE, SUITE A, LOS ANGELES, CA 90011-1634
(213) 763-2510
(213) 763-2513
Mailing address
2511 S CENTRAL AVE, SUITE A, LOS ANGELES, CA 90011-1634
(213) 763-2510
(213) 763-2513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9384201
DENTICAL PROVIDER NUMBER
CA
Enumeration date
01/18/2007
Last updated
08/22/2020
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