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Individual

TRANG T LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
255 HWY 187, HATCH, NM 87937
(505) 267-3286
(505) 267-1747
Mailing address
P.O. BOX 370, HATCH, NM 87937
(505) 267-3286
(505) 267-1747

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2879
NM

Other

Enumeration date
06/27/2007
Last updated
07/08/2007
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