Individual
THIEN M LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5430 JIMMY CARTER BLVD, NORCROSS, GA 30093-1517
(770) 441-7900
Mailing address
5430 JIMMY CARTER BLVD, NORCROSS, GA 30093-1517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232256189B
—
GA
Enumeration date
03/14/2007
Last updated
07/08/2007
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