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Individual

DR. LE MANH HO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
14590 S ROBERT TRL, ROSEMOUNT, MN 55068-3195
(651) 423-3993
Mailing address
14590 S ROBERT TRL, ROSEMOUNT, MN 55068-3195
(651) 423-3993

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13030
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D13030
MN DENTAL LICENSE
MN
Enumeration date
10/11/2011
Last updated
04/20/2016
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