Individual
LISA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
413 LUCENT DR, STANTON, CA 90680-4024
(949) 295-4704
Mailing address
1810 W MOORE AVE, SANTA ANA, CA 92704-6131
(949) 295-4704
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
27123
CA
124Q00000X
Dental Hygienist
Primary
HAP905
CA
Other
Enumeration date
04/30/2021
Last updated
07/18/2022
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