Organization
LE DENTAL INC.
Active
Other names
Children's Dental Place
Organization subpart
No
Provider details
NPI number
Authorized official
SUONG LE DDS (OWNER)
(510) 565-4054
Entity
Organization
Contact information
Practice address
2048 STORY RD, SAN JOSE, CA 95122-1668
(510) 565-4054
Mailing address
873 COYOTE ST, MILPITAS, CA 95035-3840
(510) 565-4054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
03/04/2024
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