Aei Enterprise Llc | |
12359 Sunrise Valley Dr Ste 180 Reston VA 20191-3437 | |
(703) 382-5611 | |
Not Available |
Full Name | Aei Enterprise Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 12359 Sunrise Valley Dr Ste 180, Reston, Virginia |
Authorized Official Name and Position | Kieu M Le (OWNER) |
Authorized Official Contact | 7033825611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aei Enterprise Llc 12359 Sunrise Valley Dr Ste 180 Reston VA 20191-3437 Ph: (703) 382-5611 | Aei Enterprise Llc 12359 Sunrise Valley Dr Ste 180 Reston VA 20191-3437 Ph: (703) 382-5611 |
NPI Number | 1720856370 |
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Provider Enumeration Date | 12/13/2023 |
Last Update Date | 12/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720856370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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