M.k.le Professional Dental Corporation

NPI #1700229952 in Belmont, California

Provider Information

NPI Number: 1700229952
Entity Type: Organization
Organization Name: M.k.le Professional Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Apr 8, 2013
Last Updated: Apr 8, 2013

Practice Location

Address: 570 MASONIC WAY
City: Belmont
State: California
ZIP Code: 94002-2703
Phone: (650) 517-3328

Authorized Official

Name: DR. MAI KIM LE, DDS
Title: PRESIDENT
Phone: (408) 849-7649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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