Provider Demographics
NPI:1154675940
Name:ALIGN ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:ALIGN ORTHODONTICS PLLC
Other - Org Name:ALIGN ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HUONG
Authorized Official - Middle Name:THIEN
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-817-2747
Mailing Address - Street 1:3630 NE 180TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-3740
Mailing Address - Country:US
Mailing Address - Phone:360-258-0915
Mailing Address - Fax:
Practice Address - Street 1:19301 SE 34TH ST STE 101
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-8881
Practice Address - Country:US
Practice Address - Phone:360-817-2747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty