Organization
THIEN V LE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIEN V LE (OWNER)
(706) 942-6612
Entity
Organization
Contact information
Practice address
5105C BACKLICK RD, ANNANDALE, VA 22003-6042
(703) 942-6612
(703) 942-6683
Mailing address
6815 HOPEWELL AVE, SPRINGFIELD, VA 22151-3841
(703) 942-6612
(703) 942-6683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412206
VA
Other
Enumeration date
12/22/2015
Last updated
01/06/2016
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