Provider Demographics
NPI:1699823476
Name:LE, ALENE THAO (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ALENE
Middle Name:THAO
Last Name:LE
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:1010 CAMPANILE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-9031
Mailing Address - Country:US
Mailing Address - Phone:949-228-7552
Mailing Address - Fax:949-706-3476
Practice Address - Street 1:15455 JEFFREY RD
Practice Address - Street 2:SUITE 310
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4100
Practice Address - Country:US
Practice Address - Phone:949-653-2686
Practice Address - Fax:949-653-2685
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA514881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics