Individual
PHUONG THANH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13450 S. HAWTHORNE BLVD., HAWTHORNE, CA 90250-5806
(310) 679-0106
(310) 679-6889
Mailing address
13450 S. HAWTHORNE BLVD., HAWTHORNE, CA 90250-5806
(310) 679-0106
(310) 679-6889
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH-31979
CA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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