Provider Demographics
NPI:1902999238
Name:THANH HANG LE , D.D.S. INC
Entity Type:Organization
Organization Name:THANH HANG LE , D.D.S. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THANH HANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-539-9539
Mailing Address - Street 1:10900 WESTMINSTER AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4984
Mailing Address - Country:US
Mailing Address - Phone:714-539-9539
Mailing Address - Fax:
Practice Address - Street 1:10900 WESTMINSTER AVE STE 5
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4984
Practice Address - Country:US
Practice Address - Phone:714-539-9539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA411031223G0001X
CA490141223G0001X
CA471591223G0001X
CA525801223G0001X
CA524711223G0001X
CA445331223P0300X
CA500181223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty