Individual
DR. LISA BUI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S CHEVY CHASE DR, SUITE 250, GLENDALE, CA 91205-4431
(818) 265-2259
Mailing address
1555 VINE ST, #329S, LOS ANGELES, CA 90028-7359
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63314
CA
Other
Enumeration date
06/24/2009
Last updated
06/20/2016
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