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Individual

TUANH LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
4355 NICOLS RD, EAGAN, MN 55122-1912
(952) 431-5088
Mailing address
4355 NICOLS RD, EAGAN, MN 55122-1912
(952) 431-5088

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30-024383
OH
1223G0001X
General Practice Dentistry
Primary
D14351
MN

Other

Enumeration date
09/02/2014
Last updated
11/02/2021
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