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Organization

LEDENTAL LLC

Active
Other names
Chinook Falls Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIN MINH LE DMD (OWNER)
(503) 544-4889
Entity
Organization

Contact information

Practice address
36840 INDUSTRIAL WAY, SANDY, OR 97055-9254
(503) 668-8301
Mailing address
36840 INDUSTRIAL WAY, SANDY, OR 97055-9254
(503) 668-8301

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9841
OR

Other

Enumeration date
12/16/2016
Last updated
12/16/2016
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