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Thai Le, D.D.S Valid NPI

Individual provider · General Practice Dentistry · Mansfield, TX

NPI
1871720912
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
24733 (TX)
Sex
Male
Sole proprietor
No
Enumerated
2009-06-16
Last updated
2009-06-16
Practice location
2880 N. Fm 157, Suite 102
Mansfield, TX 76063
(817) 473-6200

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