| Kevin Thai Le DDS, Inc | |
|
18845 Sherman Way Ste J Reseda CA 91335-4042 | |
| (818) 757-8953 | |
| Not Available |
| Full Name | Kevin Thai Le DDS, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18845 Sherman Way Ste J, Reseda, California |
| Authorized Official Name and Position | Kevin Thai Le (CEO) |
| Authorized Official Contact | 8187578953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Thai Le DDS, Inc 18845 Sherman Way Ste J Reseda CA 91335-4042 Ph: (818) 757-8953 | Kevin Thai Le DDS, Inc 18845 Sherman Way Ste J Reseda CA 91335-4042 Ph: (818) 757-8953 |
| NPI Number | 1295393445 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295393445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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