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Organization

LE DENTAL LLC

Active
Parent organization
LE DENTAL LLC
Other names
iCare Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
LE DENTAL LLC
Authorized official
TUAN LE DMD (DENTIST)
(702) 456-8118
Entity
Organization

Contact information

Practice address
931 S DECATUR BLVD, LAS VEGAS, NV 89107-3918
(702) 551-4224
(702) 534-6546
Mailing address
931 S DECATUR BLVD, LAS VEGAS, NV 89107-3918
(702) 551-4224
(702) 534-6546

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3776
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100503629
NV
Enumeration date
02/09/2018
Last updated
02/09/2018
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