Lam Nhat Nguyen, DDS
Dentist, General Practice in South Lake Tahoe, CA. Individual provider (NPI-1).
NPI number1417366014
StatusActive
Last updated in NPPESApr 30, 2021
Details
- NPI
- 1417366014
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lam Nhat Nguyen
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2014
- Certification date
- Apr 30, 2021
- Last updated
- Apr 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DDS105958 | CA | Yes |
| 122300000X | Dentist | D10122 | OR |
Practice location
3170 Us Highway 50 Ste 3South Lake Tahoe, CA 96150-9213
Phone 530-577-8080
Mailing address
3170 Us Highway 50 Ste 3South Lake Tahoe, CA 96150-9213
Phone 530-577-8080
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