Individual
DANH LE DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(916) 670-0134
Mailing address
38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(916) 670-0134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12931502-9921
UT
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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