| Le Dental Professional Corp | |
|
1832 Tully Rd San Jose CA 95122-1881 | |
| (408) 238-8898 | |
| (408) 270-2345 |
| Full Name | Le Dental Professional Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1832 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Mai Kim Le (CEO) |
| Authorized Official Contact | 4082388898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Le Dental Professional Corp 1832 Tully Rd San Jose CA 95122-1881 Ph: (408) 238-8898 | Le Dental Professional Corp 1832 Tully Rd San Jose CA 95122-1881 Ph: (408) 238-8898 |
| NPI Number | 1902104458 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902104458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47633 (California) | Primary |
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