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Provider Information for 1275794216

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. HUONG T LE DMD

Gender: FEMALE

Individual NPI: 1275794216

Calendar   Last Updated:  2015-03-05
  Certification Date: 

Details

Name Value
NPI 1275794216
Enumeration Date 2008-06-23
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 2115 SE 192ND AVE SUITE #102
CAMAS, WA 98607-7444
United States

Phone: 360-817-2747 | Fax: 360-817-2717
View Map External Link
Primary Practice Address 2115 SE 192ND AVE SUITE #102
CAMAS, WA 98607-7444
United States

Phone: 360-817-2747 | Fax: 360-817-2717
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223X0400X - Dentist Orthodontics and Dentofacial Orthopedics WA DE 00009906
No 1223X0400X - Dentist Orthodontics and Dentofacial Orthopedics OR D7498