Provider Demographics
NPI:1417257940
Name:LE, JOYCE LOAN (DDS)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:LOAN
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 1:8433 FM 1464 RD STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1102
Mailing Address - Country:US
Mailing Address - Phone:832-866-4688
Mailing Address - Fax:
Practice Address - Street 1:8433 FM 1464 RD STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1102
Practice Address - Country:US
Practice Address - Phone:832-866-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26046122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist