Individual
DR. PHUONG FERN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
65 NEILSON ST, SUITE 135, WATSONVILLE, CA 95076-2491
(831) 768-9365
(831) 768-9393
Mailing address
65 NEILSON ST, SUITE 135, WATSONVILLE, CA 95076-2491
(831) 768-9365
(831) 768-9393
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
51390
CA
Other
Enumeration date
10/24/2006
Last updated
01/29/2013
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