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Organization
MATTHEW LE PLLC
Active
Organization
MATTHEW LE PLLC
Active
Other names
Flossophy Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LE DDS (OWNER DOCTOR)
(469) 742-1691
Entity
Organization
Contact information
Practice address
9749 NORTH FWY STE 111, FORT WORTH, TX 76177-7171
(817) 720-0121
Mailing address
4727 LAKE FRONT DR, HALTOM CITY, TX 76137-2612
(469) 742-1691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
02/16/2023
Last updated
07/05/2024
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