Provider Demographics
NPI:1083693030
Name:LE, YENCHI (DDS)
Entity Type:Individual
Prefix:MR
First Name:YENCHI
Middle Name:
Last Name:LE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 W SPRING CREEK PKWY
Mailing Address - Street 2:#100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4626
Mailing Address - Country:US
Mailing Address - Phone:972-312-1840
Mailing Address - Fax:972-412-1851
Practice Address - Street 1:305 W SPRING CREEK PKWY
Practice Address - Street 2:#100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4626
Practice Address - Country:US
Practice Address - Phone:972-312-1840
Practice Address - Fax:972-412-1851
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX194431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice