| Ktle Dmd, Pc | |
|
3065 S Archibald Ave Ste B Ontario CA 91761-9000 | |
| (909) 923-3640 | |
| (909) 947-7728 |
| Full Name | Ktle Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3065 S Archibald Ave Ste B, Ontario, California |
| Authorized Official Name and Position | Ky T Le (PRESIDENT) |
| Authorized Official Contact | 9099233640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ktle Dmd, Pc 3065 S Archibald Ave Ste B Ontario CA 91761-9000 Ph: (909) 923-3640 | Ktle Dmd, Pc 3065 S Archibald Ave Ste B Ontario CA 91761-9000 Ph: (909) 923-3640 |
| NPI Number | 1770067001 |
|---|---|
| Provider Enumeration Date | 09/22/2018 |
| Last Update Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770067001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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