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LE DENTAL PROFESSIONAL CORP NPI 1902104458


NPI Information

NPI: 1902104458
Provider Name: LE DENTAL PROFESSIONAL CORP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1832 TULLY RD
SAN JOSE, CA
ZIP 95122
Phone: (408) 238-8898
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LE DENTAL PROFESSIONAL CORP is a general practice dentist in San Jose, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LE DENTAL PROFESSIONAL CORP NPI is 1902104458. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1832 TULLY RD
SAN JOSE, CA
ZIP 95122-881
Phone: (408) 238-8898
Fax: (408) 270-2345

The provider's authorized official is Mai Kim Le .
The authorized official title is Ceo and has the following contact phone number (408) 238-8898.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 3/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice47633CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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