Organization
THERADONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIANG H LE DDS (OWNER DENTIST)
(949) 344-6516
Entity
Organization
Contact information
Practice address
801 WELLS BRANCH PKWY, SUITE 130, PFLUGERVILLE, TX 78660
(512) 887-7816
Mailing address
801 WELLS BRANCH PKWY, SUITE 130, PFLUGERVILLE, TX 78660
(512) 887-7816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34824
DENTIST
TX
Enumeration date
09/07/2022
Last updated
02/23/2023
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