Provider Demographics
NPI:1538298260
Name:LE, DANIEL T (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:T
Last Name:LE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14044 MAGNOLIA ST
Mailing Address - Street 2:SUITE 125
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4700
Mailing Address - Country:US
Mailing Address - Phone:714-893-6768
Mailing Address - Fax:949-717-6820
Practice Address - Street 1:14044 MAGNOLIA ST
Practice Address - Street 2:SUITE 125
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4700
Practice Address - Country:US
Practice Address - Phone:714-893-6768
Practice Address - Fax:949-717-6820
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA381981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice