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Organization
RONNY LE DENTAL CORPORATION
Active
Organization
RONNY LE DENTAL CORPORATION
Active
Other names
VISTA MODERN DENTISTRY DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
RONNY LE DDS (GENERAL DENTIST/OWNER)
(760) 208-1173
Entity
Organization
Contact information
Practice address
1350 E VISTA WAY STE 10, VISTA, CA 92084-4037
(760) 208-1173
(760) 206-7231
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
03/08/2022
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