Individual
DR. VAN ANH MONG LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1555 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 902-2366
(414) 385-6612
Mailing address
9633 N SUNSET LN, MEQUON, WI 53092-5334
(414) 902-2366
(414) 385-6612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4109
WI
Other
Enumeration date
01/31/2007
Last updated
09/23/2013
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