Individual
BAO-CHAU LE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14265 BROOKHURST ST, GARDEN GROVE, CA 92843
(714) 531-2773
Mailing address
14265 BROOKHURST ST, GARDEN GROVE, CA 92843-4648
(714) 531-2773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62856
CA
Other
Enumeration date
09/16/2013
Last updated
06/11/2020
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