| Phu Thanh Thien Le, Dds Dental Corp | |
|
650 International Blvd Ste A Oakland CA 94606-2987 | |
| (510) 517-5309 | |
| Not Available |
| Full Name | Phu Thanh Thien Le, Dds Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 650 International Blvd Ste A, Oakland, California |
| Authorized Official Name and Position | Phu T Le (CEO) |
| Authorized Official Contact | 5105175309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phu Thanh Thien Le, Dds Dental Corp 650 International Blvd Ste A Oakland CA 94606-2987 Ph: (510) 517-5309 | Phu Thanh Thien Le, Dds Dental Corp 650 International Blvd Ste A Oakland CA 94606-2987 Ph: (510) 517-5309 |
| NPI Number | 1992359061 |
|---|---|
| Provider Enumeration Date | 07/27/2019 |
| Last Update Date | 07/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992359061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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