Individual
CHI PHUC LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4850 N 83RD AVE, PHOENIX, AZ 85033-1044
(623) 385-7100
Mailing address
8312 S 22ND LN, PHOENIX, AZ 85041-7758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012517
AZ
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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