| NPI | 1659796167 |
|---|---|
| Former Name | ALICIA LE NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401413821) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2015-01-08 |