Organization
HAN M LE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAN LE DMD (PRESIDENT)
(617) 288-7600
Entity
Organization
Contact information
Practice address
1510 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 288-7600
Mailing address
1510 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 288-7600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110011375A
—
MA
Enumeration date
05/07/2019
Last updated
05/07/2019
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