Organization
JOHNNY LE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CANAVA (VP REVENUE CYCLE)
(972) 361-0600
Entity
Organization
Contact information
Practice address
27202 MAPLE VALLEY-BLACK DIAMOND RD SE, STE 104, MAPLE VALLEY, WA 98003
(425) 341-1671
(253) 461-5493
Mailing address
27202 MAPLE VALLEY-BLACK DIAMOND RD SE, STE 104, MAPLE VALLEY, WA 98003
(425) 341-1671
(253) 461-5493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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