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Organization
RYAN N LE DMD INC
Active
Organization
RYAN N LE DMD INC
Active
Other names
Family Dental Works
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN LE DMD (CEO/PRESIDENT)
(714) 521-6827
Entity
Organization
Contact information
Practice address
15018 LA MIRADA BLVD, LA MIRADA, CA 90638
(714) 521-6827
Mailing address
15018 LA MIRADA BLVD, LA MIRADA, CA 90638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851527253
NPI TYPE 1
CA
Enumeration date
01/09/2014
Last updated
01/09/2014
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