| Benjamin Bao Le Dmd, Inc | |
|
1702 N Avalon Blvd Wilmington CA 90744-1433 | |
| (310) 835-0251 | |
| (310) 835-1690 |
| Full Name | Benjamin Bao Le Dmd, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1702 N Avalon Blvd, Wilmington, California |
| Authorized Official Name and Position | Benjamin Bao Le (OWNER) |
| Authorized Official Contact | 3108350251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Bao Le Dmd, Inc 1702 N Avalon Blvd Wilmington CA 90744-1433 Ph: (310) 835-0251 | Benjamin Bao Le Dmd, Inc 1702 N Avalon Blvd Wilmington CA 90744-1433 Ph: (310) 835-0251 |
| NPI Number | 1124694765 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124694765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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