Organization
VIET DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIEU THIEN LE D.D.S. (OWNER)
(801) 887-7264
Entity
Organization
Contact information
Practice address
1819 W 3500 S, SUITE 1A, SALT LAKE CITY, UT 84119-3457
(801) 887-7264
(801) 908-5752
Mailing address
1819 W 3500 S, SUITE 1A, SALT LAKE CITY, UT 84119-3457
(801) 887-7264
(801) 908-5752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
376933-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647187297008
—
UT
Enumeration date
11/23/2010
Last updated
11/23/2010
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