| Thien V Le Dds Pc | |
|
5105c Backlick Rd Annandale VA 22003-6042 | |
| (703) 942-6612 | |
| (703) 942-6683 |
| Full Name | Thien V Le Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5105c Backlick Rd, Annandale, Virginia |
| Authorized Official Name and Position | Thien V Le (OWNER) |
| Authorized Official Contact | 7069426612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thien V Le Dds Pc 6815 Hopewell Ave Springfield VA 22151-3841 Ph: (703) 942-6612 | Thien V Le Dds Pc 5105c Backlick Rd Annandale VA 22003-6042 Ph: (703) 942-6612 |
| NPI Number | 1700241486 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 01/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700241486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412206 (Virginia) | Primary |
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