# NICOLE VAN LE, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083919625
- **Authorized official:** DR. NICOLE LE DDS (OWNER AND MEMBER)
- **Authorized official phone:** (317) 442-5411

## Contact information

- **Practice address:** 9105 E 56TH ST, INDIANAPOLIS, IN 46216-2229
- **Practice address phone:** (317) 442-5411
- **Mailing address:** 11623 CANNINGTON CIR, FISHERS, IN 46037-4398
- **Mailing address phone:** (317) 442-5411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010056 | IN | Yes |

## Other

- **Enumeration date:** 01/12/2011
- **Last updated:** 01/12/2011