Basic Information
| Provider Information | |||||||||
| NPI: | 1720176324 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NGUYEN-LENK | ||||||||
| FirstName: | YEN | ||||||||
| MiddleName: | HAI | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | DMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3189 DANVILLE BLVD | ||||||||
| Address2: | STE 110 | ||||||||
| City: | ALAMO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945071955 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9258310900 | ||||||||
| FaxNumber: | 9258310902 | ||||||||
| Practice Location | |||||||||
| Address1: | 9130 ALCOSTA BLVD STE A | ||||||||
| Address2: | |||||||||
| City: | SAN RAMON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945833847 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9258039700 | ||||||||
| FaxNumber: | 9258032568 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2006 | ||||||||
| LastUpdateDate: | 05/31/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 48344 | CA | Y | Dental Providers | Dentist | General Practice |
No ID Information.