Individual
DR. MARY LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS,MS
Contact information
Practice address
13541 MADISON AVE, KANSAS CITY, MO 64145-1669
(816) 942-3044
Mailing address
3327 TWAIN AVE, CLOVIS, CA 93619-5037
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2018043094
MO
1223P0221X
Pediatric Dentistry
Primary
48307
CA
1223P0221X
Pediatric Dentistry
60035
KS
Other
Enumeration date
01/26/2007
Last updated
01/03/2019
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