Le, Quang Bao

Le, Quang Bao is an individual health care provider with primary practice located at 1234 N Santa Fe Ave Suite #114, Vista CA 92083-3206. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Le, Quang Bao can be contacted via phone (760) 732-5878.

Contact Information

Primary practice address
1234 N Santa Fe Ave Suite #114 Vista CA 92083-3206
Phone: (760) 732-5878
Fax: (760) 732-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 49774 California

Profile Details

NPI number 1053463794
LBN Legal business name Le, Quang Bao
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053463794 NPPES
California Other G98624-01 DELTA DENTAL HFP

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