Individual
JONATHAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 KINGS HWY N, CHERRY HILL, NJ 08034-2303
(856) 857-0033
Mailing address
527 ROXBOROUGH AVE, PHILADELPHIA, PA 19128-1740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02946900
NJ
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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