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Individual

DR. BAO-QUYEN THI LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1531 MARYLAND AVE NE, WASHINGTON, DC 20002-7604
(202) 470-1126
(202) 399-0130
Mailing address
10713 ALMOND ST, FAIRFAX, VA 22032-3402
(703) 232-6672
(703) 691-0740

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401412048
VA
1223G0001X
General Practice Dentistry
Primary
DEN1000752
DC

Other

Enumeration date
06/12/2008
Last updated
11/10/2008
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