Individual
HOANH BA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6522
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116771
BLUE CROSS BLUE SHIELD
KS
Enumeration date
04/20/2006
Last updated
04/16/2018
Update your record
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