Individual
DR. PHU LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8227 OLD COURTHOUSE RD, SUITE 210, VIENNA, VA 22182-3815
(703) 288-4862
(703) 288-4863
Mailing address
8227 OLD COURTHOUSE RD, SUITE 210, VIENNA, VA 22182-3815
(703) 288-4862
(703) 288-4863
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411700
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12826
MD
Other
Enumeration date
11/20/2006
Last updated
02/16/2012
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