Organization
DMDLE,
Active
Other names
Elite Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LE DMD (OWNER/DENTIST)
(512) 890-9900
Entity
Organization
Contact information
Practice address
5901 OLD FREDERICKSBURG RD STE 102, AUSTIN, TX 78749-1209
(512) 890-9900
Mailing address
5901 OLD FREDERICKSBURG RD STE 102, AUSTIN, TX 78749-1209
(512) 890-9900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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