Individual
BRYAN TAO LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
100 ROBIN CT, VALLEJO, CA 94591-4120
(650) 267-1797
Mailing address
100 ROBIN CT, VALLEJO, CA 94591-4120
(650) 267-1797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59682
CA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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