Individual
JENNIFER LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2810 WAKEFIELD PINES DR, SUITE 115, RALEIGH, NC 27614-7078
(919) 488-0111
(919) 488-0104
Mailing address
2810 WAKEFIELD PINES DR, SUITE 115, RALEIGH, NC 27614-7078
(919) 488-0111
(919) 488-0104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7375
NC
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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