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General NPI Number Information
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NPI Number | 1053432617
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Entity Type | Individual
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Provider Name | HAO ANH LE DDS
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 14341 BEACH BLVD STE I
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City | WESTMINSTER
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State | CA
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Zip | 92683-4561
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Country | US
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Telephone | 623-845-7400
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Fax | 623-245-4159
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Provider Business Mailing Address
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Address Line | 9690 PUFFIN AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5847
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Country | US
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Telephone | 480-206-4358
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5552
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License Number State | AZ
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