Individual
PAUL LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
217 W MAIN ST, EAGLE POINT, OR 97524-0450
(541) 826-2525
Mailing address
442 SW UMATILLA AVE, REDMOND, OR 97756-7039
(888) 462-0022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11517
OR
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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