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Organization
MICHAEL M. LE, D.D.S., INC.
Active
Organization
MICHAEL M. LE, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M. LE D.D.S. (CEO)
(310) 749-6446
Entity
Organization
Contact information
Practice address
665 N TUSTIN ST, SUITE W, ORANGE, CA 92867-7146
(714) 289-8100
(714) 289-8189
Mailing address
89 WATERMAN, IRVINE, CA 92602-1654
(310) 749-6446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D50075
—
CA
Enumeration date
05/19/2007
Last updated
09/15/2007
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