| Thanh Minh Le Dds Inc | |
|
12872 Harbor Blvd Garden Grove CA 92840 | |
| (714) 638-8273 | |
| (714) 699-2586 |
| Full Name | Thanh Minh Le Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 12872 Harbor Blvd, Garden Grove, California |
| Authorized Official Name and Position | Thanh Minh Le (DENTIST) |
| Authorized Official Contact | 4085061590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thanh Minh Le Dds Inc 12872 Harbor Blvd Garden Grove CA 92840 Ph: (714) 638-8273 | Thanh Minh Le Dds Inc 12872 Harbor Blvd Garden Grove CA 92840 Ph: (714) 638-8273 |
| NPI Number | 1154832400 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 12/30/2019 |
| Medicare PECOS PAC ID | 1557628054 |
|---|---|
| Medicare Enrollment ID | O20171207001826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154832400 | NPI | - | NPPES |
| Provider Name | Thanh M Le |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881780096 PECOS PAC ID: 2062705759 Enrollment ID: I20171221001445 |
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