Individual
DR. THAO LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(510) 813-4042
Mailing address
170 BROOKLINE AVE UNIT 915, BOSTON, MA 02215-3924
(510) 813-4042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58063
CA
122300000X
Dentist
Primary
DL10794
MA
Other
Enumeration date
04/06/2009
Last updated
09/25/2009
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