Organization
KEVIN THAI LE DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THAI LE DDS (CEO)
(818) 757-8953
Entity
Organization
Contact information
Practice address
18845 SHERMAN WAY STE J, RESEDA, CA 91335-4042
(818) 757-8953
Mailing address
18845 SHERMAN WAY STE J, RESEDA, CA 91335-4042
(818) 757-8953
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/27/2019
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