Provider Demographics
NPI:1689893372
Name:MINYE, LASZLO (DDS)
Entity Type:Individual
Prefix:
First Name:LASZLO
Middle Name:
Last Name:MINYE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5736 BERTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1026
Mailing Address - Country:US
Mailing Address - Phone:818-312-7793
Mailing Address - Fax:661-272-8932
Practice Address - Street 1:38655 9TH ST E
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-3814
Practice Address - Country:US
Practice Address - Phone:661-272-9292
Practice Address - Fax:661-272-8932
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA368031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice