Organization
PHU T. LE, DDS, PC
Active
Other names
Tysons Orthodontic Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHU LE DDS (PRESIDENT)
(202) 257-0113
Entity
Organization
Contact information
Practice address
8227 OLD COURTHOUSE RD, SUITE 210, VIENNA, VA 22182-3815
(703) 288-4862
(703) 288-4863
Mailing address
8227 OLD COURTHOUSE RD, SUITE 210, VIENNA, VA 22182-3815
(703) 288-4862
(703) 288-4863
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411700
VA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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