| Organization Name: | DIEP H. LE, DDS. DENTAL CORP II |
| NPI Number: | 1043629827 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIEP HONG LE (DENTIST) |
| Mailing Address: | 195 Meridian St A-5 Hollister |
| State: | CA US |
| Postal Code: | 950232221 |
| Phone Number: | 8316305720 |
| Fax Number: | 8316305721 |
| NPI Enumeration Date: | 08/06/2014 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 43033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |