Organization
NINA LE, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA LE D.D.S. (PRES.)
(310) 373-0007
Entity
Organization
Contact information
Practice address
1706 S ELENA AVE, STE. C, REDONDO BEACH, CA 90277-5715
(310) 373-0007
(310) 373-0014
Mailing address
1706 S ELENA AVE, STE. C, REDONDO BEACH, CA 90277-5715
(310) 373-0007
(310) 373-0014
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
49131
CA
Other
Enumeration date
05/18/2007
Last updated
04/30/2013
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