Provider Demographics
NPI:1245545607
Name:LE, VICTORIA NGUYEN (DDS)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:NGUYEN
Last Name:LE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4171 OCEANSIDE BLVD # 100C
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-6023
Mailing Address - Country:US
Mailing Address - Phone:760-283-7180
Mailing Address - Fax:760-206-7897
Practice Address - Street 1:4171 OCEANSIDE BLVD # 100C
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-6023
Practice Address - Country:US
Practice Address - Phone:760-283-7180
Practice Address - Fax:760-206-7897
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA596041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice