Individual
JOHN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7508 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6467
(360) 838-0750
Mailing address
7508 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6467
(360) 838-0750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11107
OR
Other
Enumeration date
07/19/2019
Last updated
10/10/2022
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