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Organization
KTLE DMD, PC
Active
Organization
KTLE DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KY T LE D.M.D. (PRESIDENT)
(909) 923-3640
Entity
Organization
Contact information
Practice address
3065 S ARCHIBALD AVE STE B, ONTARIO, CA 91761-9000
(909) 923-3640
(909) 947-7728
Mailing address
3065 S ARCHIBALD AVE STE B, ONTARIO, CA 91761-9000
(909) 923-3640
(909) 947-7728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/22/2018
Last updated
02/13/2024
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