Provider Demographics
NPI:1184816472
Name:MEN THI HONG LE
Entity Type:Organization
Organization Name:MEN THI HONG LE
Other - Org Name:CONTEMPORARY DENTISTRY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:MEN
Authorized Official - Middle Name:TH
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:714-283-1884
Mailing Address - Street 1:6505 E SERRANO AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-5053
Mailing Address - Country:US
Mailing Address - Phone:714-283-1884
Mailing Address - Fax:714-283-1836
Practice Address - Street 1:6505 E SERRANO AVE
Practice Address - Street 2:SUITE C
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-5053
Practice Address - Country:US
Practice Address - Phone:714-283-1884
Practice Address - Fax:714-283-1836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423511223G0001X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty