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NPI Code Detail

MEDICARE: DR. ABRAHAM SI-VIET LE D.D.S.

MEDICARE: DR. ABRAHAM SI-VIET LE D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDE60485731WA
21223G0001XGeneral Practice DentistryDE60485731WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558778316
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABRAHAM SI-VIET LE D.D.S.
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2781 S 242ND ST
Second Line :
City : DES MOINES
State : WA
Zip : 98198-5166
Country : US
Telephone Number : 206-957-9040
Fax Number : 206-212-4525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 03/30/2026

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Directions to “ DR. ABRAHAM SI-VIET LE D.D.S.” Practice Location

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