Individual
PHUONG B LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3985 STEVE REYNOLDS BLVD, BUILDING O, SUITE 101, NORCROSS, GA 30093-3035
(678) 205-1308
(678) 205-1345
Mailing address
2993 ARBOR CHASE, DECATUR, GA 30033-1800
(770) 908-8711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013369
GA
Other
Enumeration date
03/19/2007
Last updated
12/17/2007
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