Individual
DR. JOHN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10505 SE 17TH AVE, MILWAUKIE, OR 97222-7475
(503) 653-4093
Mailing address
10844 SE ALYSSA DR, HAPPY VALLEY, OR 97086-7476
(503) 621-2401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11726
OR
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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