Individual
TUAN THANH LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4017 N PRINCE ST, CLOVIS, NM 88101-9705
(575) 762-2757
Mailing address
2003 QUARTER HORSE LN, SUFFOLK, VA 23434-9321
(757) 401-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5646
NM
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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