Organization
LE-NGUYEN, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HA NGOC LE D.M.D. (PRESIDENT)
(706) 336-8318
Entity
Organization
Contact information
Practice address
119 POTTERY FACTORY DRIVE, COMMERCE, GA 30529
(706) 336-8318
Mailing address
119 POTTERY FACTORY DRIVE, COMMERCE, GA 30529
(706) 336-8318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820030239B
—
GA
Enumeration date
05/19/2016
Last updated
05/19/2016
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