Provider Demographics
NPI:1538170519
Name:NGUYEN, LANKHANH DINH (DDS)
Entity type:Individual
Prefix:DR
First Name:LANKHANH
Middle Name:DINH
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 1:2291 LAS POSITAS RD
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-8893
Mailing Address - Country:US
Mailing Address - Phone:925-245-9028
Mailing Address - Fax:925-245-9058
Practice Address - Street 1:2291 LAS POSITAS RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-8893
Practice Address - Country:US
Practice Address - Phone:925-245-9028
Practice Address - Fax:925-245-9058
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48157122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist