Provider Demographics
NPI:1346401627
Name:LE, ANH KIM (DDS)
Entity Type:Individual
Prefix:
First Name:ANH
Middle Name:KIM
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 1:11900 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2304
Mailing Address - Country:US
Mailing Address - Phone:281-564-6665
Mailing Address - Fax:281-564-0022
Practice Address - Street 1:11900 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2304
Practice Address - Country:US
Practice Address - Phone:281-564-6665
Practice Address - Fax:281-564-0022
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice