Individual
DR. TRA THANH LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14591 NEWPORT AVE, SUITE # 108, TUSTIN, CA 92780-6001
(714) 368-3334
(714) 368-3335
Mailing address
14591 NEWPORT AVE, SUITE # 108, TUSTIN, CA 92780-6001
(714) 368-3334
(714) 368-3335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
43542
CA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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