Individual
MR. ELVIS LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2501 W I 20, GRAND PRAIRIE, TX 75052-3947
(817) 200-7086
Mailing address
2501 W I 20, GRAND PRAIRIE, TX 75052-3947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39615
TX
Other
Enumeration date
03/03/2023
Last updated
06/10/2024
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