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Individual

COLIN LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
400 N PEPPER AVE, DEPT GENERAL SURGERY MOD 3, COLTON, CA 92324-1801
(909) 580-6210
(909) 580-1363
Mailing address
400 N PEPPER AVE, DEPT GENERAL SURGERY MOD 3, COLTON, CA 92324-1801
(909) 580-6210
(909) 580-1363

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
41750
CA

Other

Enumeration date
02/28/2008
Last updated
02/28/2008
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