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Provider Information for 1912082470



DR. VU QUANG LE D.D.S.

Gender: MALE

Individual NPI: 1912082470

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1912082470
Enumeration Date 2006-10-25
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 26700 TOWNE CENTRE DR SUITE 130
FOOTHILL RANCH, CA 92610-2844
United States

Phone: 949-600-7777 | Fax: 949-600-7770
View Map External Link
Primary Practice Address 26700 TOWNE CENTRE DR SUITE 130
FOOTHILL RANCH, CA 92610-2844
United States

Phone: 949-600-7777 | Fax: 949-600-7770
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 49773