MEDICARE: HANH LE

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
1	124Q00000X	Dental Hygienist	DH27122	FL
2	124Q00000X	Dental Hygienist	DH.002025635	CO

General Provider Information

NPI Number	:	1043853823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANH LE

Provider Business Mailing Address
First Line	:	11019 E 25TH DR
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-1216
Country	:	US
Telephone Number	:	954-261-3733
Fax Number	:

Provider Business Practice Location Address
First Line	:	9250 E HAMPDEN AVE STE 150
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5413
Country	:	US
Telephone Number	:	303-930-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	10/23/2019

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Directions to “ HANH LE ” Practice Location

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