Provider Demographics
NPI:1700028891
Name:STEVEN LE DENTAL CORPORATION
Entity Type:Organization
Organization Name:STEVEN LE DENTAL CORPORATION
Other - Org Name:KIDS' DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-766-4411
Mailing Address - Street 1:9550 BOLSA AVE STE 218
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5948
Mailing Address - Country:US
Mailing Address - Phone:714-766-4411
Mailing Address - Fax:714-766-4443
Practice Address - Street 1:8413 WESTMINSTER BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3308
Practice Address - Country:US
Practice Address - Phone:714-766-4411
Practice Address - Fax:714-766-3296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty