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NPI Code Detail

MEDICARE: TUAN NHA LE DMD

MEDICARE: TUAN NHA LE DMD
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
11223G0001XGeneral Practice Dentistry0401411966VA

General Provider Information

NPI Number : 1871669986
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUAN NHA LE DMD
Provider Business Mailing Address
First Line : 3608 FOREST DR
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22302-1043
Country : US
Telephone Number : 703-671-8431
Fax Number : 703-671-3511
Provider Business Practice Location Address
First Line : 3608 FOREST DR
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22302-1043
Country : US
Telephone Number : 703-671-8431
Fax Number : 703-671-3511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 03/20/2009

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Directions to “ TUAN NHA LE DMD” Practice Location

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