Individual
DR. LOAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6303 E BROADWAY BLVD STE 101, TUCSON, AZ 85710-3547
(520) 276-1654
Mailing address
6627 W LOUISE DR, GLENDALE, AZ 85310-5703
(281) 736-6799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010675
AZ
Other
Enumeration date
07/02/2020
Last updated
03/24/2021
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