Individual
AMANDA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1039 E INTERSTATE 30 STE 107, ROCKWALL, TX 75087-4912
(972) 722-4914
Mailing address
2625 RIVERCREST DR, SHERMAN, TX 75092-2219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37485
TX
Other
Enumeration date
07/19/2021
Last updated
07/30/2021
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