Individual
ANH LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11421 WASHINGTON BLVD, WHITTIER, CA 90606-3121
(714) 818-2651
Mailing address
809 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109124
CA
390200000X
Student in an Organized Health Care Education/Training Program
005315858
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005315858
UCLA DENTAL
—
01
—
005316858
UCLA DENTAL SCHOOL ID NUMBER
—
Enumeration date
06/15/2022
Last updated
07/25/2024
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