Organization
MINH-TAM LE,DDS, LLC
Active
Other names
Le Pearl Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH-TAM NGUYEN LE DDS (OWNER)
(571) 274-4578
Entity
Organization
Contact information
Practice address
7115 LEESBURG PIKE STE 310, FALLS CHURCH, VA 22043-2301
(888) 537-3275
(202) 449-9797
Mailing address
555 MASSACHUSETTS AVE NW APT 409, WASHINGTON, DC 20001-4719
(571) 274-4578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235521659
—
VA
Enumeration date
12/16/2021
Last updated
12/16/2021
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