Individual
KELLY NGUYEN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3101 184TH ST SW STE 101, LYNNWOOD, WA 98037-4851
(425) 341-1653
Mailing address
4450 EL CENTRO RD APT 938, SACRAMENTO, CA 95834-2670
(503) 887-4483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61250996
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2022
Last updated
06/27/2022
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