| Le Dental Group | |
|
26045 Newport Rd Ste B Menifee CA 92584-7317 | |
| (858) 336-3860 | |
| Not Available |
| Full Name | Le Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 26045 Newport Rd Ste B, Menifee, California |
| Authorized Official Name and Position | Tram K Le (PRESIDENT) |
| Authorized Official Contact | 8583363860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Le Dental Group 26045 Newport Rd Ste B Menifee CA 92584-7317 Ph: (858) 336-3860 | Le Dental Group 26045 Newport Rd Ste B Menifee CA 92584-7317 Ph: (858) 336-3860 |
| NPI Number | 1447802962 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Medicare PECOS PAC ID | 6901135771 |
|---|---|
| Medicare Enrollment ID | O20190905000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447802962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Tram K Le |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558413450 PECOS PAC ID: 0446589113 Enrollment ID: I20190906000940 |
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