| Tiffani Le & Jennifer Le Dental Corporation | |
|
1911 Tully Rd San Jose CA 95122-1844 | |
| (408) 254-2877 | |
| (408) 254-2505 |
| Full Name | Tiffani Le & Jennifer Le Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1911 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Tiffani Trinh Le (OWNER) |
| Authorized Official Contact | 4082542877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffani Le & Jennifer Le Dental Corporation 3137 Chillum Ct San Jose CA 95148-3634 Ph: (408) 270-1686 | Tiffani Le & Jennifer Le Dental Corporation 1911 Tully Rd San Jose CA 95122-1844 Ph: (408) 254-2877 |
| NPI Number | 1144340092 |
|---|---|
| Provider Enumeration Date | 04/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144340092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48737 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 46485 (California) | Secondary |
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