Individual
HUY VAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(312) 975-9263
Mailing address
6006 N LAWNDALE AVE, CHICAGO, IL 60659-3112
(312) 975-9263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019031657
IL
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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