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Organization
KHOA DAI LE DDS INC
Active
Organization
KHOA DAI LE DDS INC
Active
Parent organization
KHOA DAI LE DDS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KHOA DAI LE DDS INC
Authorized official
KHOA DAI LE DDS (DENTIST OWNER)
(714) 698-8181
Entity
Organization
Contact information
Practice address
8181 BOLSA AVE, MIDWAY CITY, CA 92655
(714) 698-8181
(714) 698-1609
Mailing address
8181 BOLSA AVE, MIDWAY CITY, CA 92655-1223
(714) 698-8181
(714) 698-1609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31942
CA
Other
Enumeration date
12/14/2007
Last updated
12/22/2016
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