Organization
BENJAMIN BAO LE DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BAO LE D.M.D (OWNER)
(310) 835-0251
Entity
Organization
Contact information
Practice address
1702 N AVALON BLVD, WILMINGTON, CA 90744-1433
(310) 835-0251
(310) 835-1690
Mailing address
1702 N AVALON BLVD, WILMINGTON, CA 90744-1433
(310) 835-0251
(310) 835-1690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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