Organization
LE & TRAN DDS PC
Active
Other names
Fair City Mall Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRUNG QUI LE DDS (PRESIDENT)
(703) 978-3541
Entity
Organization
Contact information
Practice address
9600 I MAIN ST, FAIRFAX, VA 22031
(703) 978-3541
(703) 978-3543
Mailing address
9600 I MAIN ST, FAIRFAX, VA 22031
(703) 978-3541
(703) 978-3543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410629
VA
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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