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Organization
DR. VIVIAN LE DDS, INC
Active
Organization
DR. VIVIAN LE DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN LE DDS (OWNER)
(303) 475-4479
Entity
Organization
Contact information
Practice address
1774 S BROADWAY, SANTA MARIA, CA 93454-7604
(303) 475-4479
Mailing address
321 INGER DR UNIT M120, SANTA MARIA, CA 93454-8606
(303) 475-4479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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