Provider Demographics
NPI:1558413450
Name:LE, TRAM K (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRAM
Middle Name:K
Last Name:LE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32904 NORTHSHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-7200
Mailing Address - Country:US
Mailing Address - Phone:858-336-8081
Mailing Address - Fax:951-303-3606
Practice Address - Street 1:31754 US HIGHWAY 79 S
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6805
Practice Address - Country:US
Practice Address - Phone:951-694-5255
Practice Address - Fax:951-694-5103
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA549711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice