Provider Demographics
NPI:1720176324
Name:NGUYEN-LENK, YEN HAI (DMD)
Entity Type:Individual
Prefix:MRS
First Name:YEN
Middle Name:HAI
Last Name:NGUYEN-LENK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3189 DANVILLE BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1955
Mailing Address - Country:US
Mailing Address - Phone:925-831-0900
Mailing Address - Fax:925-831-0902
Practice Address - Street 1:9130 ALCOSTA BLVD STE A
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-3847
Practice Address - Country:US
Practice Address - Phone:925-803-9700
Practice Address - Fax:925-803-2568
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA483441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice