Han M Le Dmd Pc | |
1510 Dorchester Ave Dorchester MA 02122-1327 | |
(617) 288-7600 | |
Not Available |
Full Name | Han M Le Dmd Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 1510 Dorchester Ave, Dorchester, Massachusetts |
Authorized Official Name and Position | Han Le (PRESIDENT) |
Authorized Official Contact | 6172887600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Han M Le Dmd Pc 1510 Dorchester Ave Dorchester MA 02122-1327 Ph: (617) 288-7600 | Han M Le Dmd Pc 1510 Dorchester Ave Dorchester MA 02122-1327 Ph: (617) 288-7600 |
NPI Number | 1053976720 |
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Provider Enumeration Date | 05/07/2019 |
Last Update Date | 05/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053976720 | NPI | - | NPPES |
110011375A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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