Individual
DR. ANDY LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
612 NW 25TH ST, FORT WORTH, TX 76164-7009
(972) 898-3694
Mailing address
1556 BOSQUE DR, CARROLLTON, TX 75010-6427
(972) 898-3694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105196
CA
122300000X
Dentist
24549
TX
122300000X
Dentist
Primary
D10741
OR
Other
Enumeration date
10/23/2009
Last updated
09/29/2023
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