| Khoa Dai Le Dds Inc | |
|
8181 Bolsa Ave Midway City CA 92655 | |
| (714) 698-8181 | |
| (714) 698-1609 |
| Full Name | Khoa Dai Le Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 8181 Bolsa Ave, Midway City, California |
| Authorized Official Name and Position | Khoa Dai Le (DENTIST OWNER) |
| Authorized Official Contact | 7146988181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khoa Dai Le Dds Inc 8181 Bolsa Ave Midway City CA 92655-1223 Ph: (714) 698-8181 | Khoa Dai Le Dds Inc 8181 Bolsa Ave Midway City CA 92655 Ph: (714) 698-8181 |
| NPI Number | 1770766545 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770766545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31942 (California) | Primary |
Huynh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8227 Bolsa Ave, Midway City, CA 92655 Phone: 714-895-5568 Fax: 714-895-5578 |