| Kha D Le Dental Corp. | |
|
2121 E Coast Hwy Ste 220 Corona Del Mar CA 92625-1934 | |
| (949) 644-1001 | |
| (949) 644-4445 |
| Full Name | Kha D Le Dental Corp. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2121 E Coast Hwy Ste 220, Corona Del Mar, California |
| Authorized Official Name and Position | Kha D. Le (OWNER/DENTIST) |
| Authorized Official Contact | 9496441001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kha D Le Dental Corp. 2121 E Coast Hwy Ste 220 Corona Del Mar CA 92625-1934 Ph: (949) 644-1001 | Kha D Le Dental Corp. 2121 E Coast Hwy Ste 220 Corona Del Mar CA 92625-1934 Ph: (949) 644-1001 |
| NPI Number | 1447805890 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 08/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447805890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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