Individual
QUE NGUYET LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
250 S MAIN ST STE 212, BLACKSBURG, VA 24060-4725
(540) 552-5433
Mailing address
945 CANYON RIDGE ROAD, #207, BLACKSBURG, VA 24060
(571) 234-3271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416378
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
03/07/2019
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