Organization
IGLASS STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE MINH-TU LE O.D. (SOLE MEMBER/OWNER)
(603) 672-0338
Entity
Organization
Contact information
Practice address
603 NASHUA ST, UNIT 3, MILFORD, NH 03055-4924
(603) 672-0338
(603) 672-5228
Mailing address
603 NASHUA ST, UNIT 3, MILFORD, NH 03055-4924
(603) 672-0338
(603) 672-5228
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
717
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30351596
—
NH
Enumeration date
11/26/2007
Last updated
09/18/2009
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