Individual
THAO PHUOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6411 RICHFIELD PKWY, RICHFIELD, MN 55423-6400
(612) 869-3440
Mailing address
7317 OAKLAWN AVE, EDINA, MN 55435-4144
(920) 661-7520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14132
MN
Other
Enumeration date
05/21/2013
Last updated
01/16/2023
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