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Anthony A Le DDS Prof Corp

Clinic/Center, Dental in San Diego, CA. Organization (NPI-2).

NPI number1225859804
StatusActive
Last updated in NPPESOct 17, 2024

Details

NPI
1225859804
Entity type
Organization (NPI-2)
Legal business name
Anthony A Le DDS Prof Corp
Organization subpart
No
Enumeration date
Oct 17, 2024
Certification date
Oct 11, 2024
Last updated
Oct 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

14463 Penasquitos Dr
San Diego, CA 92129

Phone 858-905-5898 · Fax 858-905-5905

Mailing address

17217 Ralphs Ranch Rd
San Diego, CA 92127-7864

Authorized official

Anthony Anh Le
President
8589055898

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