Provider Demographics
NPI:1538631429
Name:LE & LE DENTAL CORPORATION
Entity type:Organization
Organization Name:LE & LE DENTAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINH
Authorized Official - Middle Name:BAO
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-303-6681
Mailing Address - Street 1:44605 AVENIDA DE MISSIONES STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5001
Mailing Address - Country:US
Mailing Address - Phone:951-303-6681
Mailing Address - Fax:951-303-6686
Practice Address - Street 1:44605 AVENIDA DE MISSIONES STE 101
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-5001
Practice Address - Country:US
Practice Address - Phone:951-303-6681
Practice Address - Fax:951-303-6686
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LE & LE DENTAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-18
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty