Individual
DR. AN NGUYEN PHUC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2129 LUZ AVE, SAN JOSE, CA 95116-2045
(617) 538-1007
Mailing address
2129 LUZ AVE, SAN JOSE, CA 95116-2045
(617) 538-1007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59621
CA
Other
Enumeration date
06/29/2009
Last updated
09/10/2010
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