| NPI | 1215687538 |
|---|---|
| Former Legal Business Name | NICK L. LE, DDS INC |
| Entity Type | Organization |
| Authorized Contact | NICK LE Owner Dentist / CEO 415-343-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-05-12 |