Provider Demographics
NPI:1538366125
Name:LE, QUYNHCHAU HOANG (DDS)
Entity type:Individual
Prefix:DR
First Name:QUYNHCHAU
Middle Name:HOANG
Last Name:LE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7631 WESTMINSTER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3919
Mailing Address - Country:US
Mailing Address - Phone:714-895-4030
Mailing Address - Fax:
Practice Address - Street 1:9938 BOLSA AVE STE 106
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6039
Practice Address - Country:US
Practice Address - Phone:714-531-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA376151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice