Provider Demographics
NPI:1467721357
Name:LE, ESTHER KIM (RDHAP)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:KIM
Last Name:LE
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:MS
Other - First Name:ESTHER
Other - Middle Name:KIM
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDHAP
Mailing Address - Street 1:P.O. BOX 4772
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92842
Mailing Address - Country:US
Mailing Address - Phone:949-287-3349
Mailing Address - Fax:
Practice Address - Street 1:15251 KENSINGTON PARK DR
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92782-1807
Practice Address - Country:US
Practice Address - Phone:714-699-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA616124Q00000X
CA25647124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist