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Individual

DR. MINH TUAN LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2913 BETIN AVE, MONROE, LA 71201-7257
(318) 323-4450
Mailing address
3633 LAKE MICHEL CT, GRETNA, LA 70056-8324
(504) 451-1927

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6763
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346763562
LA
Enumeration date
07/19/2017
Last updated
05/03/2019
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