| Jenny Le Dds Inc | |
|
9900 Mcfadden Ave Ste 204 Westminster CA 92683-6978 | |
| (714) 852-3357 | |
| Not Available |
| Full Name | Jenny Le Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 9900 Mcfadden Ave Ste 204, Westminster, California |
| Authorized Official Name and Position | Jenny Kim Le (PRESIDENT) |
| Authorized Official Contact | 7148523357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Le Dds Inc 9900 Mcfadden Ave Ste 204 Westminster CA 92683-6978 Ph: () - | Jenny Le Dds Inc 9900 Mcfadden Ave Ste 204 Westminster CA 92683-6978 Ph: (714) 852-3357 |
| NPI Number | 1154802163 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 04/15/2019 |
| Medicare PECOS PAC ID | 4082949029 |
|---|---|
| Medicare Enrollment ID | O20190712000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154802163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 64128 (California) | Primary |
| Provider Name | Jenny Le |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437690385 PECOS PAC ID: 9436484474 Enrollment ID: I20190712000274 |
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