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Organization
PHU H. LE, D.D.S., P.A.
Active
Organization
PHU H. LE, D.D.S., P.A.
Active
Other names
ADVANCED FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHU H LE DDS (PRESIDENT)
(817) 337-0072
Entity
Organization
Contact information
Practice address
1540 KELLER PKWY, SUITE 140, KELLER, TX 76248-3686
(817) 337-0072
(817) 337-0073
Mailing address
1540 KELLER PKWY, SUITE 140, KELLER, TX 76248-3686
(817) 337-0072
(817) 337-0073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009339502
—
TX
Enumeration date
06/24/2008
Last updated
06/24/2008
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