Provider Demographics
NPI:1689716367
Name:LE BICH NGOC DDS INC
Entity Type:Organization
Organization Name:LE BICH NGOC DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BICH
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-491-5529
Mailing Address - Street 1:906 E ANAHEIM ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3510
Mailing Address - Country:US
Mailing Address - Phone:562-491-5529
Mailing Address - Fax:562-491-4629
Practice Address - Street 1:906 E ANAHEIM ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3510
Practice Address - Country:US
Practice Address - Phone:562-491-5529
Practice Address - Fax:562-491-4629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42676122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA9135902OtherDENTI CAL