Individual
DR. AMANDA LE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1315 W JEFFERSON BLVD, DALLAS, TX 75208-5324
(214) 941-4200
Mailing address
1315 W JEFFERSON BLVD, DALLAS, TX 75208-5324
(214) 941-4200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32199
TX
Other
Enumeration date
08/21/2016
Last updated
09/27/2016
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