| Suong Le Dental Corporation | |
|
805 Fletcher Ln Hayward CA 94544-1010 | |
| (510) 592-7888 | |
| Not Available |
| Full Name | Suong Le Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 805 Fletcher Ln, Hayward, California |
| Authorized Official Name and Position | Suong T Le (OWNER) |
| Authorized Official Contact | 5103750523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suong Le Dental Corporation 805 Fletcher Ln Hayward CA 94544-1010 Ph: (510) 592-7888 | Suong Le Dental Corporation 805 Fletcher Ln Hayward CA 94544-1010 Ph: (510) 592-7888 |
| NPI Number | 1588021398 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588021398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52747 (California) | Primary |
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