Individual
DAI THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9340 W STOCKTON BLVD STE 120, ELK GROVE, CA 95758-8014
(916) 684-8373
(916) 684-8175
Mailing address
9340 W STOCKTON BLVD STE 120, ELK GROVE, CA 95758-8014
(916) 684-8373
(916) 684-8175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47748
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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