Individual
LAN NGOC LE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDHP, RDH
Contact information
Practice address
1200 CALLOWHILL ST, PHILADELPHIA, PA 19123-3658
(215) 825-8220
Mailing address
1200 CALLOWHILL ST, PHILADELPHIA, PA 19123-3658
(215) 825-8220
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH067945
PA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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