Individual
KIM THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
18 TEA PARTY WAY, MALDEN, MA 02148-1980
(781) 510-0211
Mailing address
18 TEA PARTY WAY, MALDEN, MA 02148-1980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859519
MA
Other
Enumeration date
07/22/2022
Last updated
07/28/2022
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