# MINH-TAM LE,DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Le Pearl Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770242885
- **Authorized official:** DR. MINH-TAM NGUYEN LE DDS (OWNER)
- **Authorized official phone:** (571) 274-4578

## Contact information

- **Practice address:** 7115 LEESBURG PIKE STE 310, FALLS CHURCH, VA 22043-2301
- **Practice address phone:** (888) 537-3275
- **Practice address fax:** (202) 449-9797
- **Mailing address:** 555 MASSACHUSETTS AVE NW APT 409, WASHINGTON, DC 20001-4719
- **Mailing address phone:** (571) 274-4578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2021
- **Last updated:** 12/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1235521659 | — | VA |
