Individual
MRS. TAM THI NGOC LE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2051 W WARNER RD, STE. #23, CHANDLER, AZ 85224-2100
(480) 917-0181
(480) 917-2806
Mailing address
2051 W WARNER RD, STE. #23, CHANDLER, AZ 85224-2100
(480) 917-0181
(480) 917-2806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5767
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770602
UNITED CONCORDIA
AZ
01
—
877475
AHCCCS
AZ
01
—
AZ0412220
BCBS
AZ
Enumeration date
04/20/2006
Last updated
07/08/2007
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