Organization
AHWATUKEE DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAM T. LE DMD (DENTIST)
(480) 961-3330
Entity
Organization
Contact information
Practice address
15215 S 48TH ST STE 113, PHOENIX, AZ 85044-9137
(480) 961-3330
Mailing address
15215 S 48TH ST STE 113, PHOENIX, AZ 85044-9137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5767
AZ
Other
Enumeration date
10/11/2007
Last updated
10/12/2007
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