Organization
KHA D LE DENTAL CORP.
Active
Other names
Coast Dental & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
KHA D. LE DMD (OWNER/DENTIST)
(949) 644-1001
Entity
Organization
Contact information
Practice address
2121 E COAST HWY STE 220, CORONA DEL MAR, CA 92625-1934
(949) 644-1001
(949) 644-4445
Mailing address
2121 E COAST HWY STE 220, CORONA DEL MAR, CA 92625-1934
(949) 644-1001
(949) 644-4445
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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