| Dr. Vivian Le Dds, Inc | |
|
1774 S Broadway Santa Maria CA 93454-7604 | |
| (303) 475-4479 | |
| Not Available |
| Full Name | Dr. Vivian Le Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1774 S Broadway, Santa Maria, California |
| Authorized Official Name and Position | Vivian Le (OWNER) |
| Authorized Official Contact | 3034754479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Vivian Le Dds, Inc 321 Inger Dr Unit M120 Santa Maria CA 93454-8606 Ph: (303) 475-4479 | Dr. Vivian Le Dds, Inc 1774 S Broadway Santa Maria CA 93454-7604 Ph: (303) 475-4479 |
| NPI Number | 1083464986 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083464986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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