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Organization

TIM LE DDS & CHRISTOPHER TONG DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIM LE DDS (DOCTOR)
(858) 693-9070
Entity
Organization

Contact information

Practice address
9330 MIRA MESA BLVD STE B, SAN DIEGO, CA 92126-4822
(858) 693-9070
(858) 693-1521
Mailing address
9330 MIRA MESA BLVD STE B, SAN DIEGO, CA 92126-4822
(858) 693-9070
(858) 693-1521

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
42841
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G91967-01
DENTICAL
CA
Enumeration date
06/04/2007
Last updated
08/25/2016
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