Provider Demographics
NPI:1750436697
Name:NGUYEN, LIEN HUONG DIEU (DDS)
Entity type:Individual
Prefix:DR
First Name:LIEN HUONG
Middle Name:DIEU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13161 BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1080
Mailing Address - Country:US
Mailing Address - Phone:714-539-4140
Mailing Address - Fax:714-539-4401
Practice Address - Street 1:13161 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1080
Practice Address - Country:US
Practice Address - Phone:714-539-4140
Practice Address - Fax:714-539-4401
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA321511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice