# LP DENTAL CENTER,PLLC

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

## Provider details

- **NPI number:** 1396018610
- **Authorized official:** DR. BILL BAO QUANG LE DMD (CORPORATE OFFICER)
- **Authorized official phone:** (602) 268-0006

## Contact information

- **Practice address:** 3515 W SOUTHERN AVE STE 152, PHOENIX, AZ 85041-4229
- **Practice address phone:** (602) 268-0006
- **Practice address fax:** (602) 268-0007
- **Mailing address:** 3515 W SOUTHERN AVE STE 152, PHOENIX, AZ 85041-4229
- **Mailing address phone:** (602) 268-0006
- **Mailing address fax:** (602) 268-0007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7208 | AZ | Yes |

## Other

- **Enumeration date:** 02/16/2012
- **Last updated:** 02/17/2012