Individual
KEVIN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-3126
Mailing address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-3126
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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