Provider Demographics
NPI:1760883078
Name:LEHOA NGUYEN DDS INC
Entity Type:Organization
Organization Name:LEHOA NGUYEN DDS INC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEHOA
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-258-5682
Mailing Address - Street 1:228 N JACKSON AVE
Mailing Address - Street 2:SUITE 50
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1602
Mailing Address - Country:US
Mailing Address - Phone:408-258-5682
Mailing Address - Fax:408-258-4348
Practice Address - Street 1:228 N JACKSON AVE
Practice Address - Street 2:SUITE 50
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1602
Practice Address - Country:US
Practice Address - Phone:408-258-5682
Practice Address - Fax:408-258-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-07
Last Update Date:2014-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49616122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1629197405OtherDENTAL OFFICE