NPI | 1477218063 |
---|---|
Former Legal Business Name | HI - TECH DENTAL OFFICE, VINCENT LE, DDS |
Entity Type | Organization |
Authorized Contact | VINCENT LE Owner 619-582-5364 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-11-08 |
Last Update Date | 2021-11-08 |