Individual
DR. BRIAN T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1114 E SEMINARY DR, FORT WORTH, TX 76115-2830
(817) 921-0883
(888) 600-6547
Mailing address
1114 E SEMINARY DR, FORT WORTH, TX 76115-2830
(817) 921-0883
(888) 600-6547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158687712
—
TX
05
—
158687715
—
TX
05
—
158687716
—
TX
Enumeration date
10/13/2005
Last updated
03/01/2018
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