Individual
STEVEN T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
12010798A
IN
1223P0221X
Pediatric Dentistry
Primary
58019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200800530A
—
IN
Enumeration date
02/02/2007
Last updated
11/15/2012
Update your record
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