Organization
BRANDON LE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON LE DMD (PRESIDENT)
(714) 942-2447
Entity
Organization
Contact information
Practice address
3698 S BRISTOL ST, SANTA ANA, CA 92704-7302
(714) 942-2447
Mailing address
3698 S BRISTOL ST, SANTA ANA, CA 92704-7302
(714) 942-2447
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
01/05/2024
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