Organization
SMILES FOR LESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIEN M LE DMD (OWNER)
(770) 879-0845
Entity
Organization
Contact information
Practice address
1525 E PARK PLACE BLVD, STONE MOUNTAIN, GA 30087-3453
(770) 879-0845
Mailing address
1525 E PARK PLACE BLVD, STONE MOUNTAIN, GA 30087-3453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013031
GA
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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