Most Relevant Information
Provider Data
| NPI Number: | 1003235631 |
| Provider Name: | NICK L. LE D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 63890 |
Most Important Dates
| Enumeration Date: | 04/10/2014 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
14976 FOOTHILL BLVD STE 100
FONTANA
CA
923357045
Practice Location Phone/Fax
| Phone: | 9098295530 |
| Fax: |
Provider Mailing Location
12655 LOST TRAIL CT
RANCHO CUCAMONGA
CA
917399126
Provider Mailing Phone/Fax
| Phone: | 7149135485 |
| Fax: |