Levi Le DDS
Dentist, General Practice in Lake Jackson, TX. Organization (NPI-2).
NPI number1124285986
StatusActive
Last updated in NPPESMay 20, 2008
Details
- NPI
- 1124285986
- Entity type
- Organization (NPI-2)
- Legal business name
- Levi Le DDS
- Organization subpart
- No
- Enumeration date
- May 20, 2008
- Last updated
- May 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 15180 | TX | Yes |
Practice location
101 B Parking WayLake Jackson, TX 77566
Phone 979-297-9838
Mailing address
101 B Parking WayLake Jackson, TX 77566
Authorized official
Levi Thi Le
Owner
9792977369
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