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Organization

KIM LE NGUYEN DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTIN LE (CEO)
(714) 623-7249
Entity
Organization

Contact information

Practice address
5207 WHITTIER BLVD, LOS ANGELES, CA 90022-4012
(714) 623-7249
Mailing address
5207 WHITTIER BLVD, LOS ANGELES, CA 90022-4012

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/25/2022
Last updated
04/17/2024
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