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Organization
M.K.LE PROFESSIONAL DENTAL CORPORATION
Active
Organization
M.K.LE PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAI KIM LE DDS (PRESIDENT)
(408) 849-7649
Entity
Organization
Contact information
Practice address
570 MASONIC WAY, BELMONT, CA 94002-2703
(650) 517-3328
(408) 928-5673
Mailing address
570 MASONIC WAY, BELMONT, CA 94002-2703
(650) 517-3328
(408) 928-5673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47633
CA
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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