Organization
LLUAN T. LE, DDS, INC
Active
Other names
Evergreen family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUAN TRAN LE DDS (DENTIST/PRESIDENT)
(408) 270-1120
Entity
Organization
Contact information
Practice address
3151 S WHITE RD, STE 204, SAN JOSE, CA 95148-4045
(408) 270-1120
(408) 270-1026
Mailing address
3151 S WHITE RD, STE 204, SAN JOSE, CA 95148-4045
(408) 270-1120
(408) 270-1026
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
39029
CA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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