Individual
ANH DUC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
11650 W HACKBARTH DR, YOUNGTOWN, AZ 85363-1749
(714) 489-3785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033571
IL
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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