| M.k.le Professional Dental Corporation | |
|
570 Masonic Way Belmont CA 94002-2703 | |
| (650) 517-3328 | |
| (408) 928-5673 |
| Full Name | M.k.le Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 570 Masonic Way, Belmont, California |
| Authorized Official Name and Position | Mai Kim Le (PRESIDENT) |
| Authorized Official Contact | 4088497649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.k.le Professional Dental Corporation 570 Masonic Way Belmont CA 94002-2703 Ph: (650) 517-3328 | M.k.le Professional Dental Corporation 570 Masonic Way Belmont CA 94002-2703 Ph: (650) 517-3328 |
| NPI Number | 1700229952 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 04/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700229952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47633 (California) | Primary |
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