Healthcare Provider Details

I. General information

NPI: 1073186987
Provider Name (Legal Business Name): TONI LE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810 HARFORD RD
BALTIMORE MD
21214-1847
US

IV. Provider business mailing address

5810 HARFORD RD
BALTIMORE MD
21214-1847
US

V. Phone/Fax

Practice location:
  • Phone: 410-426-8200
  • Fax:
Mailing address:
  • Phone: 410-426-8200
  • Fax: 410-426-8451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number18625
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number7244
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: