Individual
DR. LESLIE WAN-YI TAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3410 GRAND AVE STE F, CHINO HILLS, CA 91709-1473
(909) 364-0027
Mailing address
235 COAL MINE, IRVINE, CA 92602-1921
(916) 712-4228
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
105912
CA
Other
Enumeration date
07/08/2020
Last updated
07/12/2023
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