Individual
DR. SALLY AI THIEN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6416 S ELM PL, BROKEN ARROW, OK 74011-4819
(918) 940-3244
Mailing address
3704 S MIMOSA AVE, BROKEN ARROW, OK 74011-1143
(918) 853-1128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6795
OK
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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