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Organization
NICOLE VAN LE, DDS, LLC
Active
Organization
NICOLE VAN LE, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LE DDS (OWNER AND MEMBER)
(317) 442-5411
Entity
Organization
Contact information
Practice address
9105 E 56TH ST, INDIANAPOLIS, IN 46216-2229
(317) 442-5411
Mailing address
11623 CANNINGTON CIR, FISHERS, IN 46037-4398
(317) 442-5411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010056
IN
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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