Organization
DMDLE,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LE DMD (OWNER)
(951) 231-7246
Entity
Organization
Contact information
Practice address
5901 OLD FREDERICKSBURG RD STE D102, AUSTIN, TX 78749-1210
(512) 892-9900
Mailing address
5901 OLD FREDERICKSBURG RD STE D102, AUSTIN, TX 78749-1210
(951) 231-7246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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