Individual
DR. DUONG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1326 S WALDRON RD, FORT SMITH, AR 72903-2556
(479) 484-0008
Mailing address
1326 S WALDRON RD, FORT SMITH, AR 72903-2556
(479) 484-0008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
35290
TX
1223G0001X
General Practice Dentistry
Primary
4476
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38332752
DRIVER'S LICENSE
TX
Enumeration date
07/15/2019
Last updated
10/12/2020
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