Provider Demographics
NPI:1588759427
Name:BAUER, LINH NGUYEN (DDS)
Entity type:Individual
Prefix:
First Name:LINH
Middle Name:NGUYEN
Last Name:BAUER
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 1:1953 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5629
Mailing Address - Country:US
Mailing Address - Phone:408-371-5700
Mailing Address - Fax:408-371-5757
Practice Address - Street 1:1953 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5629
Practice Address - Country:US
Practice Address - Phone:408-371-5700
Practice Address - Fax:408-371-5757
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA437201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice